In the tissue regeneration field, stem cell transplantation and the control of their differentiation represent a promising therapeutic strategy. The second aspect can be achieved using electrical stimulation. This study aims to characterize the effect of a microsecond electrical stimulation on MSCs and iNSCs, in the context of the RISEUP FET-OPEN project (n. 964562) that seeks to control these cells differentiation for the spinal cord injury treatments. Here, the effect of a specific microsecond electric pulses stimulation, characterized by bipolar pulses of 100 µs + 100 µs, delivered for 30 minutes at an intensity of 250 V/cm, on i) cell proliferation, ii) cell cycle, iii) gene expression and iv) apoptosis was evaluated. Results show that the stimulation does not affect cell proliferation, cell cycle, and apoptosis, but induced some variations in gene expression, in particular in EGR1, FOS, and POU5F1. These ob-servations led us to deeply investigate the cell proliferation until 72h from the stimulation observing an increase in the iNSCs. The main outcome of this study is that the chosen stimulation protocol is safe and not toxic for MSCs and iNSCs. The observed variations in the gene expression need to be deeply investigated to assess the molecular mechanisms involved.

Food insecurity is a pervasive issue for Allegheny County as one in five residents experience food insecurity. Food insecurity is linked to chronic health conditions like heart disease and hypertension and disproportionately affects women in the United States, particularly women who are head of household. There are multiple dimensions used to measure regional food insecurity, one of which is food accessibility. Prior research has examined the linkages between food access and food insecurity, and this study aims to further explore the relationship between equitable access to sustainable food and levels of regional food insecurity. This study examines food outlets in Allegheny County to determine if there is a significant relationship between food outlet availability and food insecurity. Both the presence and accessibility of these food outlets were examined. To measure accessibility, the walking distance to the nearest public transportation stop was calculated for each public transportation stop. The minimum distance to each food outlet was compared to food insecurity rates on a Census Tract level. Results showed that communities without grocery stores did, on average, have higher rates of food insecurity. Also, communities with a higher proportion of female-headed households experienced greater food insecurity, regardless of access to food outlets. However, there was no statistically significant relationship between the distance from public transportation stops to grocery stores and rates of food insecurity. Based on these findings, we suggest that sole reliance on distance as an indicator of food insecurity can be misleading, and there should be a greater focus on walkability within the community as using opposed to physical distance alone.

De novo metastatic hormone-sensitive PC (mHSPC) accounts for 5-10% of all prostate cancer (PC) diagnoses but it is responsible for nearly 50% of PC-related deaths. Since 2015, the prognosis of mHSPC has slightly improved thanks to the introduction of new hormonal agents and chemotherapy combined with androgen deprivation therapy from the first-line setting. This review describes the current therapeutic opportunities in de novo mHSPC, focusing on potential molecular biomarkers identified in the main clinical trials that have changed the standard of care, the genomic features of de novo mHSPC, and the principal ongoing trials that are investigating new therapeutic approaches and the efficacy of a biomarker-guided treatment in this setting. The road towards a personalized treatment for de novo mHSPC is still long considering that the randomized clinical trials, which have furnished the basis of the current therapeutic options, stratified patients according to clinical criteria that not necessarily reflect the biological rationale of the chosen therapy. The role of transcriptomic profiling of mHSPC as predictive biomarker requires further validation, as well as it remains to ascertain how the genomic alterations detected in mHSPC, that are considered predictive in the castration-resistant disease, can be exploited in the mHSPC setting.

(1) Background: adnexal masses during pregnancy detection are increased due to the use of first trimester screening and to advanced maternal age. Although the low risk of malignancy, other risks are associated: torsion, rupture or labour obstruction. Correct diagnosis and management are fundamental to guarantee both maternal and fetal safety. Adnexal masses may be troublesome to classify during pregnancy due to the increase in the uterus volume and to pregnancy-related hormonal changes. Management should be based on ultrasound examination to provide the best treatment. (2) Methods: the aim was to describe the ultrasound features of ovarian masses detected during pregnancy. We evaluated patient’s management, perinatal outcomes and follow-up. (3) Results: our study demonstrated that the management should be guided by an accurate ultrasound examination performed by an expert operator according to standardized techniques. Secondly, our results confirm the data present in the literature: the masses are most frequently benign, ultrasound follow-up is the best management strategy and obstetric outcome is not considerably affected. (4) Conclusions: the management of patients with ovarian masses detected during pregnancy should be based on ultrasound examination and a centralization in referral centers for ovarian masses should be considered.

The very slow anodic oxygen evolution reaction (OER) greatly limits the development of large-scale hydrogen production via water electrolysis. By replacing OER with easier urea oxidation reaction (UOR), developing a HER/UOR coupling electrolysis system for hydrogen production can significantly save energy and costs. Al doped cobalt ferrocyanide (Al-Co2Fe(CN)6) nanocube array was in-situ grown on nickel foam (Al-Co2Fe(CN)6/NF). Due to the unique nanocube array structure and regulated electronic structure of Al-Co2Fe(CN)6, the as-prepared Al-Co2Fe(CN)6/NF electrode exhibited outstanding catalytic activities and long-term stability to both UOR and HER. The Al-Co2Fe(CN)6/NF electrode needed potentials of 0.169 V and 1.118 V (vs. reversible hydrogen electrode) to drive 10 mA cm−2 for HER and UOR, respectively, in alkaline condition. Applying the Al-Co2Fe(CN)6/NF to a whole urea electrolysis system, 10 mA cm−2 was achieved at a cell voltage of 1.357 V, which saved 60% electricity energy comparing to that of tranditional water splitting. Density functional theory calculations demonstrated that the boosted UOR activity comes from Co sites with Al doped electronic environments. This promoted and balanced the adsorption/desorption of main intermediates in UOR process. This work indicates that Co based materials as efficient catalysts have great prospects for application in urea electrolysis systems, and are expected to achieve low-cost and energy-saving H2 production.

This work explores the significance of toothbrushing in maintaining optimal oral health, delving into its benefits, proper techniques, and types of toothbrushes. The primary cause of caries, periodontal diseases, and halitosis is oral biofilm development. One of the most fundamental practices in maintaining oral health is toothbrushing. Studies have confirmed that mechanical procedures for controlling plaque and toothbrushing, in particular, significantly decrease plaque accumulation. The significance of teeth brushing in preventing dental caries has been well-acknowledged for a considerable period. Dentists recommend brushing twice daily for at least two min to ensure thorough cleaning. Unfortunately, precise guidelines from dental associations are often missing. Authors mention that two min of brushing are insufficient for significant plaque removal; plaque removal increases with augmented brushing time, with maximum removal at 180 s. Multiple studies have documented that engaging in the practice of brushing one’s teeth twice a day has a preventive impact. Various toothbrush designs, including both manual and electric options, have been created to improve the elimination of dental biofilm and reduce the accumulation and persistence of bacteria. In conclusion, toothbrushing is a simple yet incredibly important practice for maintaining oral health. The benefits extend beyond just a bright smile, encompassing caries, gum disease, halitosis prevention, and the preservation of tooth enamel. Adhering to proper toothbrushing techniques, selecting the right toothbrush, and understanding the connection between oral health and overall well-being can lead to a healthier life. To foster favorable toothbrushing behaviors among the population, dental practitioners and public health experts must know the factors that influence toothbrushing habits.

This paper presents a comprehensive evaluation of metal foam employment within polymer electrolyte fuel cells (PEFCs) and compares it with conventional serpentine channels from both experiment viewpoints and computational fluid dynamics simulation. The experiments are designed to study the effects of material, area density, compression ratio, and final thickness of metal foam. Additionally, the influence of housing plate material and relative humidity (RH) is also tested for the first time. The results reveal that at RH=75-100%, the best distributor design is nickel foam with a compression ratio of 70%, a final thickness of 0.5mm, and SS-304 housing plate, which delivers 3110 mA cm^-2 as limiting current density that is scarce in the literature. The PEFC with this foam distributor shows a 10% improvement in maximum power density and 45% in limiting current density compared to the serpentine channel case. While at RH=30%, the same foam flow field with a final thickness of 1mm is a superior option. The experiments also indicate that maximum power density increases by 23% as the compression ratio rises from 0 to 70%, while reducing final thickness from 1 to 0.5 mm causes a 19% enhancement in cell performance. Simulation results reveal that metal foam is more successful in evenly reactant distribution so that the average oxygen mass fraction at the cathode catalyst layer is increased by 38% in the metal foam case compared to the serpentine channel.

Long span cable-stayed bridge is the main bridge type with a span of more than 400 meters. It is generally designed as a double tower long-span structure with good spanning capacity and economic performance. Wind resistance safety performance is the main index to control the long-span cable-stayed bridge structure. During the operation of long-span cable-stayed bridge structure, because the service life of the cable is far less than the design life of the structure, the wind resistance performance of the structure will inevitably deteriorate significantly, which will seriously affect the structural service performance of symmetric cable-stayed bridge. Based on symmetric reliability theory, this paper takes flutter and static wind stability of long-span cable-stayed bridge structure as the main design control index, uses positive reliability theory to calculate the reliability index of symmetric cable-stayed bridge structure, uses inverse reliability theory to calculate the safety factor of symmetric cable-stayed bridge structure, and evaluates the wind resistant time-varying performance of long-span cable-stayed bridge structure by comprehensively considering the reliability index and safety factor. Taking a practical project of a long-span cable-stayed bridge as a specific case, the wind resistant time-varying reliability of the bridge during its operation for more than 30 years is analyzed, and the parameter sensitivity is analyzed. The results show that the wind resistance performance of the cable-stayed bridge structure is obviously affected by the cable, and the degradation of the cable performance will have an important impact on the wind resistance time-varying performance of the structure, especially the critical wind speed of the structure has obvious time-varying characteristics. The safety factor and reliability index can objectively evaluate the wind resistance time-varying performance of the long-span cable-stayed bridge structure.

Convolution, recurrent and attention-based deep learning techniques have produced the most recent state-of-the-art results in multiple sensor-based human activity recognition (HAR) datasets. However, these techniques have high computing costs, restricting their use in low-powered devices. Different methods have been employed to increase the efficiency of these techniques; however, this often results in worse performance. Recently, pure MLP architectures have demonstrated competitive performance in vision-based tasks with lower computation costs than other deep-learning techniques. The MLP-Mixer is a pioneering pure MLP architecture that produces competitive results with state-of-the-art models in computer vision tasks. This paper shows the viability of the MLP-Mixer in sensor-based HAR. Furthermore, experiments are performed to gain insight into the Mixer modules essential for HAR, and a visual analysis of the Mixer’s weights is provided, validating the Mixer’s learning capabilities. As a result, the Mixer achieves an F1 score of 97%, 84.2%, 91.2% and 90% on the PAMAP2, Daphnet Gait, Opportunity Gestures and Opportunity Locomotion datasets, respectively, outperforming state-of-the-art models in all datasets except Opportunity Gestures.

Cemeteries can be compared to landfills since their leachate, also known as necroleachate, can be transported and pollute groundwater, surface waters, and soils. In Brazil, the cemeteries management is the responsibility of states and municipalities, to ensure that they do not generate negative environmental impacts and risks to public health. This article aims to discuss Brazilian sanitary-environmental legislation relating to cemetery waste management. Among the Brazilian states, half have sanitary-environmental legislation for cemeteries, and between the municipalities, only 19 have specific legislation. The legislation is broad and has many gaps, leading to environmental vulnerability and risk of contamination for the people who live in the surrounding area.

In this letter, we construct an effective field theory of gravity at large distances. We obtain to the leading order for large distances: a cosmological constant term and a logarithmic term in addition to the usual General Relativistic terms. The novel logarithmic term has important implications in explaining phenomena such as flat galactic rotation curves and stronger gravitational lensing than predicted that are generally attributed to the presence of dark matter.

Ammonia is an atmospheric pollutant, predominantly emitted from agriculture, leading acidification and eutrophication of soil and water and contributing to secondary PM2.5. The implementation of accurate emission inventories with high spatial and time resolution plays a fundamental role in the development of air modelling simulation and in the impact assessment of actions for air quality improvement. The development and release of new algorithms and the increase of data availability are supporting the implementation of machine learning approaches in environmental and air quality data analysis. In this paper we present a methodology developed by the application of the Random Forest algorithm to bottom-up local emission inventories of ammonia to validate annual time series of ammonia emissions and calculate high resolution temporal profiles. The model has been trained and tested by the hourly measurements of ammonia concentrations and atmospheric turbulence parameters starting from a constant emission scenario. The initial values of emissions are calculated based on a bottom-up emission inventory detailed at the municipal basis and considering a circular area of about 4 km radius centered on measurement sites. By comparing predicted and measured concentrations, the emissions are modified, the model's training and testing are repeated, and the model converges to a very high performance in predicting ammonia concentrations and establishing an hourly time changing emission profile. The site-specific emissions profiles, estimated by the proposed methodology, clearly show a nonlinear relation with measured concentrations and allow to identify the effect of atmospheric turbulence on pollutant accumulation. The estimated time series well confirm the available data of the emission inventories and the monthly emission profiles have been compared with estimated data from satellite.

This paper reports aligned activities to promote energy and resource-efficient construction practice in Vietnam. First, the governance framework is introduced, including government decrees and technical standards. Then, a laboratory with building physics measurement technology is designed and partly set up at the local partner Vietnam Institute for Building Materials (VIBM), which can be used to determine the essential characteristic values required for the implementation of energy standards. The basis for the prioritization of the characteristic values are the requirements of the National technical regulation on energy efficient buildings of Vietnam – QCVN09:2017/BXD. Furthermore, basic characteristic values from international standards are described, which can also be used for calculations to optimize the energy consumption of buildings. In order to be able to carry out transient hygrothermal computer simulations, special characteristic values were also included. These are particularly useful for the research and development of new building materials and the evaluation of entire buildings in terms of thermal and moisture protection In order to communicate the material properties to the market and enable informed decision making by the stakeholders, a labeling system has been developed. Thereby, the practical means for implementing governance instruments are provided, and the related technical applications are supported.

Potassium 6-oxo-7,13,16,22-tetraazatetracyclo[12.6.2.18,12.017,21]tricosa-1(20),8(23),9,11,14,16,18,21-octaen-2-yne-15-carboxylate was synthesized through a multi-step pathway starting from commercially available 3-iodo-1,2-phenylenediamine. Structure characterization of this new substituted macrocyclic quinoxaline compound was achieved by using 1H NMR, 13C NMR, and HRMS spectral analysis. This new macrocyclic derivative demonstrated submicromolar potency on both Pim-1 and Pim-2 isoforms, with an interesting selectivity profile against a selected panel of human kinases.

Integrated cultivation strategies can significantly improve rice yield. However, it is unclear how integrated cultivation practices improve soil microbial diversity and its related mechanism in rice field. Therefore, four integrated cultivation practices i.e., no N application (N0), local farmers’ practice (FP), high-yield and high-efficiency practice (HYEY), and super-high-yield cultivation practice, impacts on soil properties and structure composition of microbial community were explored. Compared with N0, SHY treatment, significantly increased soil alkaline nitrogen and organic matter contents. HYHE and SHY treatments significantly altered soil fungal community and Alpha diversity. Based on Venn diagram analysis, the composition of bacterial communities under all treatments was similar, but with different compositions of fungal communities. Cluster analysis indicates that the Proteobacteria was the absolute dominant group of bacterial communities, and Chloroflexi, Bacteroidetes, and Acidobacteria were the dominant group. Different cultivation methods also led to changes in the main factors affecting soil bacteria and fungi composition. Available potassium and organic matter were the main environmental factors that affected bacteria, with the strong of available potassium on the soil. To sum up, SHY and HYEY were beneficial management options in terms of improved soil fertility Alpha diversity of the soil bacterial community respectively.

Lignocellulosic biomass is a powerful approach for the production of sustainable biofuels and the further achievement of the goal of biomass conversion into a second-generation clean energy that can cope with the depletion of fossil reserves and rising energy requirements. In the conversion process, a pretreatment is essential to overcome the recalcitrance of the lignocellulosic biomass, accelerate its disintegration into cellulose, hemicellulose, and lignin and, in turn, get an optimal yield of fermentable sugars in the enzymatic hydrolysis. In addition to this, it should be industrially scalable and capable of enhancing fuel properties and feedstock processability. Here, steam explosion technology has stood out due to its results and advantages such as wide applicability, high efficiency in the short term, or lack of contamination in spite of its conventionality. This gentle and fast pretreatment incorporates high temperature autohydrolysis and structural alteration by explosive decompression. Steam explosion method has been one of the most effective especially for the hydrolysis of cellulose from agricultural wastes due to the lower quantity of acetyl groups in the composition of hemicellulose. In this aspect, sugarcane bagasse is a promising feedstock for bioethanol production due to its high cellulosic content and elevated availability. The objective of this review has been to compile the latest information on steam explosion pretreatment, stages, equipment, variables involved, by-products generated, as well as the advantages and disadvantages of the technique. At the same time, its feasibility and viability using sugarcane bagasse as feedstock has been discussed. Finally, the effectiveness of the technique with different feedstocks has been evaluated.

The holographic principle states that the information about the volume of space is stored on its boundary. Assuming this holds, we can explain the aspects of gravity. The spacetime needs to be extended to 5D to explain gravity in this context. This naturally explains the four classical tests of gravity namely the gravitational redshift, the perihelion precession, the bending of light, and the gravitational time delay. We also show a novel way in which the universe expands in an accelerated manner at late times without the need for any form of dark energy.

Intramuscular fat content (IFC) and meat color are vital indicators affecting pork quality. A significant positive correlation between IFC and redness meat color (a* value) indicates that these two traits are likely to be regulated by shared molecular pathways. To identify candidate genes, hub genes, and signaling pathways that regulate these two traits, we measured the IFC and a* value in 147 hybrid pigs and selected individuls with extreme phenotypes for transcriptome analysis. The results revealed 485 and 394 overlapping differentially expressed genes (DEGs) using DESeq2, limma, and edgeR packages affecting IFC and a* value, respectively. Weighted gene co-expression network analysis (WGCNA) identified four modules significantly correlated with IFC and a* value. Moreover, we integrated functional enrichment analysis results based on DEGs, GSEA, and WGCNA conditions to identify candidate genes, and identified 47 and 53 candidate genes affecting IFC and a* value, respectively. The protein-protein interaction (PPI) network analysis of candidate genes showed that 6 and 14 hub genes affecting IFC and a* value, respectively. These genes mainly participated in various pathways related to lipid metabolism and redox reactions. Notably, four crucial hub genes (MYC, SOX9, CEBPB, and PPAGRC1A) were shared for these two traits. After functional annotation of these four hub genes, we hypothesized that the SOX9/CEBPB/PPARGC1A axis could co-regulate lipid metabolism and myoglobin redox response. Further research on these hub genes, especially the SOX9/CEBPB/PPARGC1A axis, will help to understand the molecular mechanism of the co-regulation of IFC and a* value, which will provide the theoretical basis for improving pork quality.

The sustainability of agroecological systems, biodiversity protection, animal welfare and consumer demand for higher-quality products from alternative and extensive farming methods, have reinforced interest in local breeds that are well adapted to low-input environments. However, food safety needs to be safeguarded to reinforce consumer confidence. The aim of this study was to conduct a preliminary investigation on the occurrence of Salmonella spp. in eggshells, hen’s cloaca and litter materials from autochthonous Portuguese laying hens raised in a semi-extensive system for small-scale production. A total of 279 samples were obtained, with 63 samples from the “Preta Lusitânica” breed, and 72 samples each from the remaining autochthonous breeds, namely “Branca”, “Amarela” and “Pedrês Portuguesa”. None (0%) of the samples analyzed were positive for Salmonella spp.. To the best of our knowledge, these are the first results of Salmonella evaluation from hen’s cloaca, eggshells, and litter materials in autochthonous Portuguese chickens, suggesting that a semi-extensive production system can contribute to better food security and a lower risk to public health and the environment.

There are strong indications that the built environment intertwines consistently with the advent of Covid-19 and the need for post-disaster recovery. The advent of the Covid-19 pandemic has exerted adverse effects on both human and global developments; while the efforts to combat this menace call for an integrated human social capital index. This research seeks to adequately enhance the comprehension of how the built environment can be enhanced through resilience in the backdrop of the Covid-19 pandemic. The study's goal is to investigate the impact of a resilient built environment on increasing resilience in the aftermath of the Covid-19 pandemic in Nigeria. Overall, the quantitative study test the impact of four built environments resilience indices (Built Environment capitals; Disaster management indices, Awareness of the Covid-19 Pandemic, and Built Environment adaptive strategies) on Human social capital and Covid-19 pandemic Indices. This study reveals the role of human social capital in achieving a resilient built environment in the wake of Covid 19 pandemic in Nigeria. Also, built environment capitals, disaster management indices, and awareness on the Covid-19 have indirect effects on Covid-19 pandemic indices through the human social capital. The implication of the study is useful for Post-Covid 19 recovery; which is important for future planning of the built environment in Nigeria.

Thin-film lithium niobate has gained significant attention in photonics due to its broad optical transparency, high refractive index, nonlinear coefficient, and substantial electro-optic coefficient. It holds great promise for developing electro-optic modulators with low loss, a compact size, and wide bandwidth. This study focuses on a meticulous investigation utilizing microwave photonics to establish a high-performance electro-optic modulator. Specifically, we analyze the optical mode field distribution and traveling wave electrode structure of lithium niobate thin-film materials. The proposed modulator achieves an impressive half-wave voltage-length product of 1.69 V·cm, a negligible metal loss of 0.01 dB/cm, and a substantial 3dB electro-optic bandwidth of 50 GHz. This research successfully realizes low-loss, high-efficiency LNOI electro-optical modulators, providing a strong foundation for large-scale integrated optoelectronic systems.

We analysed changes in magnitude and timing of the largest annual observed daily flow (Amax), in each water year, for 596 stations in high-value water resources catchments and flood risk locations across Australia. These stations are either included in the Bureau of Meteorology's Hydrologic Reference Stations, or used in its operational flood forecasting services. Monotonic trend (which are either consistently increasing or decreasing) analyses of the magnitude and timing of flood peaks (estimated using Amax) were performed using Theil-Sen and Mann-Kendell approach and circular statistics to identify strength of seasonality and timing. Regional significance at the drainage division scale was analysed using the Walker test. Monotonic decreasing trends in Amax flood magnitude were detected in the Murray-Darling River basin and in other drainage divisions in Victoria, south-west and mid-west of Western Australia and South Australia. No significant obvious pattern in Amax magnitude was detected in northern Queensland, coastal NSW, central Australia and Tasmania. Only the Tanami-Timor Sea Coast drainage division in northern Australia showed monotonic increasing trends. Monotonic trends in Amax magnitude were regionally significant at the drainage division scale. We found two distinct patterns in flood seasonality and timing. In the northern and southern parts of Australia, flood peaks generally occur during February to March and August to October, respectively. The strength of this seasonality varies across the country. Weaker seasonality was detected for locations in the Murray-Daring River basin, and stronger seasonality was evident in northern Australia, south-west of Western Australia, South Australia, Victoria and Tasmania. The trends of seasonality and timing reveal that in general, flood peaks are occurring later in the water year in recent years. In northern Australia, flood peaks are generally occurring earlier – at a rate of 12 days/decade. In Victoria, New South Wales and Tasmania, trends in timing are generally mixed. However, in the south-west of Western Australia, the largest change in timing was evident – with Amax peaks commencing later at a rate of 15 days/decade. Decadal variability in flood timing was found at the drainage division scale as well. Most stations show a decreasing trend in Amax magnitude, but how that trend is associated with the change in timing is not clear.

In their natural environment, bacteria are exposed to various stresses. The stress-response sigma factor SigB of gram-positive Bacillus subtilis is the best-characterized example. Unlike Bacillus subtilis, the gram-positive bacterium Streptomyces coelicolor A3(2) contains nine SigB homologues (SigBFGHIKLMN) with a major role in differentiation and response to osmotic stress. We previously constructed a two-plasmid system to identify promoters recognized by these sigma factors. Interestingly, almost all identified promoters were recognized by two or more SigB homologues. However, no specific sequences characteristic for these recognition groups were found. To examine this cross-recognition in vivo in S. coelicolor A3 (2), one of these promoters was cho-sen, which drives the expression of the sporulation-specific gene ssgB. The ssgBp promoter was inserted into a luciferase reporter plasmid and conjugated to S. coelicolor M145 and nine mutant strains containing deleted individual sigB homologous genes. Luciferase reporter activity indi-cated differential activity of this promoter in these mutant strains, suggesting overlapping pro-moter recognition by these SigB homologues. To determine which nucleotides in the ̶ 10 re-gion are responsible for the selection of a specific SigB homologue, several mutant promoters with altered last three nucleotides in this region were prepared and tested in the two-plasmid system. Some mutant promoters were specifically recognized by some SigB homologues. Mutant promoters were inserted into a luciferase reporter plasmid and conjugated to S. coelicolor A3(2) and these nine mutant strains. Luciferase reporter activity indicated differential activity of these ssgBp mutant promoters, indicating overlapping promoter recognition by these SigB homologues in S. coelicolor A3(2).

Non-alcoholic steatohepatitis (NASH) is diagnosed by the occurrence of fat buildup, inflammation, and fibrotic changes within the liver. NASH has the capacity to proceed to the advancement of decompensated cirrhosis and carcinoma by inflammation and oxidative stress. Although Agrimonia pilosa has traditionally been used medicinal purposes, its effects on the liver remains incompletely elucidated. In this research, we assessed the therapeutic outcomes of Agrimonia pilosa extract (APE) on free fatty acid (FFA)-treated HepG2 cellular hepatic steatosis and in a choline-deficient, L-amino acid-defined, high-fat diet with 0.1% methionine (CDAHFD)-induced NASH mouse model. In FFA-treated cells, APE inhibited intracellular lipid accumulation, and regulated the mRNA and protein expressions of modulators of fatty acid (FA) synthesis as well as FA oxidation proteins, through down-regulation of the AMP-activated protein kinase/sirtuin 1 signaling pathway. In the CDAHFD-induced NASH mouse model, APE significantly enhanced liver histology and serum levels of liver damage. APE also significantly attenuated hepatic expression of mRNA and proteins related to FA synthesis, inflammation, and fibrosis. Furthermore, APE mitigated the expression levels of oxidative stress and endoplasmic reticulum stress. Overall, these discoveries indicate that Agrimonia pilosa has the potential to treat NASH by regulating hepatic lipid metabolism, alleviating inflammation, and mitigating oxidative stress.

As digital technology has become an integral part of urban’s daily operations; the urban landscape is constantly evolving with the needs of its society. This new reality allowed Municipalities to exert a higher influence in the national and local economy. Through deliberate planning and executing initiatives, they can ignite the local financial ecosystem to growth. In line with this, the paper aims to understand the possibilities available to the Greek Municipalities to exploit the smart city benefits to foster economic development. It is essential to understand the role of different factors including the strategy during the planning and implementing phases of initiatives concerning economy and innovation in a smart city. To achieve this, a tailor-made questionnaire and advanced statistical techniques are applied. The main findings highlight the importance to plan initiatives aligned with the needs of the municipality and the business environment. The existence of a smart city strategy has a catalytic effect on the final impact of the implemented initiatives on the urban environment. A systematic analysis of the smart cities’ dynamics and the new state of the urban environment can help the local actors focus on the value creation and public service provision, fostering innovation and profitability.

In Philadelphia chromosome positive B-cell (Ph+) acute lymphoblastic leukemia (LLA), growing evidence has ac-cumulated about the efficacy of low-intensity and chemo-free regimens. Our objective was to analyze all recent trials evaluating these treatments and to compare them in terms of efficacy. We applied the Shiny method, an artificial intelligence technique, to analyze Kaplan-Meier curves and reconstruct patient-level data. Reconstructed patient data were then evaluated through standard survival statistics and subjected to indirect head-to-head treatment comparisons. The endpoint was progression-free survival (PFS). Based on 848 reconstructed patients, 9 trials were analyzed. The survival data from these trials were pooled into three types of treatments: i) treatments based on ty-rosine kinase inhibitors (TKIs) combined with reduced-intensity chemotherapy (denoted as TKICHE); ii) TKIs as-sociated to steroids with no chemotherapy (TKISTE); iii) chemotherapy-free combinations of blinatumomab plus TKIs (TKIBLI). According to the Shiny method, the three PFS curves were reported in a single Kaplan-Meier graph and subjected to survival statistics. In terms of PFS, TKIBLI ranked first, TKICHE second, and TKISTE third; the differences between these three regimens were statistically significant. This multi-treatment Kaplan-Meier graph, generated through the Shiny method, summarized the current evidence on these treatments in both qualitative and quantitative terms.

A full potential all-electron density functional method within generalized gradient approximation is used to investigate the electronic, elastic and transport properties of cubic copper sulphide and copper selenide. The electronic structure suggests metallic behavior with a zero energy band gap for both materials. Elastic property calculations suggest a stiff material with the bulk to shear modulus ratio of 0.35 and 0.44 for Cu2S and Cu2Se respectively. The transport properties were estimated using the Boltzmann transport approach. Seebeck coefficient, electrical conductivity, thermal conductivity, and power factor all suggest a potential p-type conductivity for Cu2S and n-type conductivity for Cu2Se.

Introduction: Research studies have shown that workplace stress and physical immobility can have a multi-layered effect on the human body. It causes degrade our physical functioning, and also having negative effect on our performance. Yoga techniques have proved to be effective at various levels, including physical, mental, and emotional health. Objective: This study aimed to determine the efficacy of a short-term Yoga protocol – Y break, for improved well-being and resilience to stress. It is intended to working population at work to de-stress, refresh, and refocus. Methods: This study was conducted as a single-arm, multi-centric, experimental pilot trial. Prominent yoga institutes in six metropolitan cities were engaged in this study. Participants practised specific yoga techniques for 5 minutes, twice a day, for 15 days. Pre & post-intervention data was collected along with feedback about the protocol. A self-report questionnaire, based on the Pancha kosha parameters, was used to record pre- and post-data. Results: The Statistical data analysis shown significant improvement in every parameter selected for the study. Conclusion: A five-minute yoga break can do wonders for the health-related parameters of the working population; therefore, it should be introduced in all organizations to improve the quality of life and work.

Visual Patient Avatar ICU is an innovative approach to patient monitoring enhancing the user's situation awareness in intensive care settings. It dynamically displays the patient's current vital signs through changes in color, shape and animation. The technology can also indicate patient-inserted devices, such as arterial lines, central lines and urinary catheters, along with their insertion locations. We conducted an international, multi-center study using a sequential qualitative-quantitative design to evaluate users' perception of Visual Patient Avatar ICU among physicians and nurses. Twenty-five nurses and twenty-five physicians from the ICU participated in the structured interviews. Forty of them completed the online survey. Overall, ICU professionals expressed a positive outlook on Visual Patient Avatar ICU. They described Visual Patient Avatar ICU as a simple and intuitive tool that improved information retention and facilitated problem identification. However, a subset of participants expressed concerns about potential information overload and a sense of incompleteness due to missing exact numerical values. These findings provide valuable insights into user perceptions of Visual Patient Avatar ICU and encourage further technology development before clinical implementation.

This work focuses on the research area of energy generation and harvesting for its transformation into electrical energy with the primary use of energy independent sensor systems in the power range P=10-10000W. These systems are applied in sensing quantities in the transport sector (bridge structures, transport infrastructure, and the others ). The proposed theoretical harvester models describing the transformation of motion energy into electrical energy, also provides theoretical and experimental models. Results obtained in the design and construction of a robust motion generator with primarily linear geometry system technology are presented. The expected output electrical power of the harvester is variable and is designed based on the linear motion generated by the engine- compressed air, small fuel system, etc. The fundamental design of the generator core has been continuously numerically modeled and an experimental setup has been developed to analyze specific parts and variations in order to validate the concept and achieve the most suitable parameters with the selected construction materials. A scaled down version of the model principle was tested in experiments and then the parameters and results were compared with the predicted theoretical analyses.

In the last decade, an increasing awareness was directed to the role of Vitamin D in non-skeletal and preventive roles for chronic diseases. Vitamin D is a key hormone involved in the regulation of calcium/phosphorous balance and it has been implicated in the pathogenesis of inflammation, insulin resistance and obesity. Cholecalciferol (Vitamin D3) and Ergocalciferol (Vitamin D2) are the main form of vitamin D: the active form (1,25-dihydroxyvitamin D) is the result of two hydroxylations that take place in liver, kidney, pancreas and immune cells. Some anti-inflammatory cytokines are produced at higher levels by vitamin D, while some pro-inflammatory cytokines are released at lower levels. Toll-Like Receptor (TLR) expression is increased and a pro-inflammatory state is also linked to low levels of vitamin D. Regardless of how it affects inflammation, various pathways suggest that vitamin D directly improves insulin sensitivity and secretion. The level of vitamin D in the body may change the ratio of pro- to anti-inflammatory cytokines, which would impact insulin action, lipid metabolism, and the development and function of adipose tissue. Many studies have demonstrated an inverse relationship between vitamin D concentrations and pro-inflammatory markers, insulin resistance, glucose intolerance, metabolic syndrome, obesity and cardiovascular disease. It's interesting to note that several long-term studies also revealed an inverse correlation between vitamin D level and the occurrence of diabetes mellitus. Vitamin D supplementation in people has controversial effects, in fact while some studies demonstrated improvements in insulin sensitivity, glucose and lipid metabolism, others revealed no significant effect on glycemic control and inflammation. The aim of this review is to provide insight into the molecular basis of the relationship between vitamin D, insulin-resistance, metabolic syndrome, type 1 and 2 diabetes, gestational diabetes, and cardiovascular diseases.

The smart grid system, an improvised form of the traditional grid, is considered a critical cyber-physical system. Due to its complex combination of smart and legacy technologies, this technology is characterized by a wide range of features such as full duplex communication, advanced metering infrastructure, remote monitoring, and control. However, despite this system’s substantial environmental and socio-economic impact on modern life, it poses severe security vulnerabilities due to its integration and interconnected and interdependent cyber-physical components. Based on the rapid development of cyber-physical systems (CPS), academics and industries have investigated relevant techniques to enhance and strengthen the security measures of the SG system. The intrusion detection system is a countermeasure, a powerful safeguard against various cyber-attacks and threats. The contribution of the IDSs to the SG paradigm is examined in this study. A comprehensive review has been presented in this study, highlighting different techniques, basic ideas, and analyses. Besides discussing the contemporary pertinent research studies, the shortcomings of the existing IDS for the SG system are also identified with a recommendation for future research direction.

This study explores the potential of data science software solutions like Customer Relationship Management Software (CRM) for increasing the revenue generation of businesses. We focused on those businesses in Accommodation and Food Service sector across the European Union (EU). The investigation is contextualized within the rising trend of data-driven decision making, examining the potential correlation between data science application and business revenue. Employing a comprehensive evaluation of Eurostat datasets from 2014 to 2021, we used both univariate and multivariate analyses, we assessed e-commerce sales data across countries, focusing on the usage of big data and CRM tools. Big data utilization showed a clear, positive relationship with enhanced e-commerce sales. However, CRM tools exhibited a dualistic impact: while their use in marketing showed no significant effect on sales, their application in non-marketing functions had a negative correlation. These findings underscore the potential role of CRM and data science solutions in enhancing business performance in the EU's Accommodation and Food Service industry.

This article aims to investigate the potential of artificial intelligence (AI) in revolutionizing the education sector and further advancing the vision of Education 6.0. This study explores how AI can foster personalized learning experiences and adaptive pedagogy. By analyzing recent developments and real-world applications of AI in education, this article offers insights into how AI can support educators in tailoring instruction to individual students' needs, promoting engagement, and optimizing learning outcomes. The article also discusses ethical considerations and challenges associated with the integration of AI in education, emphasizing the importance of responsible implementation and human supervision.

Historically, admission of hematological patients in the ICU shortly after the start of a critical illness is associated with better survival rates. Early intensive interventions administered by MET could have a role in the management of hematological critically ill patients, eventually reducing ICU admission rate. In this retrospective and monocentric study, we evaluate the safety and effectiveness of intensive treatments administered by the MET in a medical ward frame. The administered interventions were mainly helmet CPAP and pharmacological cardiovascular support. Frequent reassessment by the MET at least every 8 to 12 hours was guaranteed. We analyze data from 133 hematological patients that required MET intervention. In hospital mortality was 38%; mortality doesn’t increase in patients not immediately transferred to the ICU. Only 3 patients died without a former admission in ICU; in these cases, mortality was not related to the acute illness. Moreover, 37% of patients overcame the critical episode in the hematological ward. Higher SOFA and MEWS scores were associated with a worst survival rate, while neutropenia and pharmacological immunosuppression were not. The MET approach seems to be safe and effective. SOFA and MEWS confirmed to be effective tools for prognostication.

Integrating systems acquired from third parties and legacies has become of great necessity in companies. This is mainly due to the need to exchange information between entities, such as banks, suppliers, customers, allies, etc. Therefore, it is essential to guarantee the integrity of the data and keep the integration up to date with the changes that can occur. Furthermore, reducing the transaction risk and avoiding losing information is necessary. Implementing this complex task involving technological and business challenges requires appropriate architecture implementation. This article presents an architecture named Dynamic Canonical Data Model through agnostic messages. The contribution involves treating the low link in integrating software units, also called the integration of loosely coupled software units. In particular, it focuses on internal data and external data integration. The proposal reduces their integration, maintenance time, and cost, maximizing their scalability and promoting reuse. To illustrate their components, a case study undertaken at the Mexican Logistics Company Paquetexpress is presented. The company has evaluated different enterprise application integration systems over 26 years to achieve a standardized integration. The article describes an architecture designed and implemented for this delivery company in a real-world case. The implementation’s source code was registered in the National Registry of Copyrights of Mexico.

Abstract: Educating healthcare workers (HCWs) to take action against monkeypox (mpox) is an important part of public health prevention efforts. The study aimed to assess the knowledge, attitudes, and willingness to vaccinate against mpox among HCWs in the Kurdistan Region of Iraq. This study utilized an online cross-sectional survey that was disseminated via Google Forms between November, 1, 2022 and January, 15, 2023, employing a convenience sampling method. The researchers utilized logistic regression to ascertain the factors associated with knowledge, attitude and willingness to vaccinate. A total of 637 HCWs were included in the analysis (ages ranged between 21 and 51 years old). The mean overall score and standard deviation of the knowledge, attitude, and willingness assessment on mpox were 8.18±3.37 out of (0–16), 3.40±1.37 out of (0–5), 2.41±1.25 out of (0–5), respectively. The multivariate logistic regression analysis showed that HCWs who heard about mpox before 2022 had a higher level of knowledge (AOR: 4.85; 95% CI: 2.81-8.36; p < 0.001). In addition, those who had less than 1 year of practice had a positive attitude about mpox (AOR: 0.35; 95% CI: 0.20-0.59; p < 0.01). Finally, none of the variable groups had the capacity to predict willingness to be vaccinated against mpox. The research revealed that HCWs exhibit a relatively low level of knowledge and attitude towards mpox, as well as a low level of willingness to receive mpox vaccinations. Further, there is an urgent need to increase their knowledge and attitude, as the success of efforts to control the global epidemic depends on them.

A recent research has identified an inverse amplitude link between obliquity damping and short eccentricity amplification during Mid-Late Pleistocene based on LR04 δ18O and equatorial Pacific Site 846 sea surface temperature records, which is associated with the Earth's long-term cooling. In the present study, new evidence of this anticorrelation is presented from Antarctic D-CO2-CH4 records, global benthic-planktic δ18O, and regional (Atlantic, Pacific, Mediterranean, and Indian) climate-related proxies. Based on a critical review of theoretical constrains (Earth's oblateness changes and ice-volume phase lag in the obliquity band <5.0 kyr), this widespread and symmetric (bipolar) obliquity response damping has been interpreted as an effect of the obliquity-oblateness feedback, which could be the latent physical mechanism at the origin of the Mid-Pleistocene Transition (MPT). Indeed, results and considerations of the present work suggest that fast and positive/negative net variation of the Earth's oblateness in the obliquity band was controlled by dominant glacio-eustatic water mass component and, assuming a rapid response of the ice-volume to surface temperature changes, the mean obliquity lag response is estimated to be <5.0 kyr over the past 800 kyr. These elements may explain the interglacial/glacial damping observed in the obliquity response. The consolidation of the Earth's long-term icy-state in the subtrend IV, culminated with the post-MPT obliquity damping, might have contributed to the strengthening of the short eccentricity response by mitigating the obliquity ‘ice-killing’ during obliquity maxima (interglacials), favouring the obliquity-cycle skipping and a feedback amplified ice-growth in the short eccentricity band (obliquity damping hypothesis). This could suggest a different impact of the climate friction than what is generally believed, which is presumably the latent physical mechanism that triggers transient ‘competitive’ interaction between obliquity and short eccentricity started early during the Piacenzian.

Participatory landscape conservation is an innovative approach that weaves theory and practice to bridge the gap between theoretical models and practical applications. Intertropical regions as the case of Mexico face challenges to conciliate regional governability, social justice, and nature conservation. The State of Michoacan is one of these regions where the challenges exacerbate since nature conservation is last due to its ongoing territorial disputes. We implemented the participatory landscape conservation approach by creating a complementary form of protected areas with ongoing conflicts, drought conditions, and extreme poverty. We conducted participatory mapping and land cover/use analyses as main methodological tools to reach consensus among stakeholders. We integrated, macro, micro and social scales to provide sound arguments to integrate local, scholar and policy makers perceptions. The outcomes of the participatory mapping analyses were assessed. The present papers provide evidence of the positive outcome of using a Participatory Landscape Conservation to establish a Biosphere Reserve, safeguarding one of the most biologically diverse and delicate ecosystems consisting of seasonally dry tropical forests within a rather disputed region. We discussed the relevance of our findings and compared them to ongoing regional and global trends in the light of other forms of establishing protected areas.

The 3D/3D+ multidimensional geriatric assessment tool provides an optimal model of emergency care for patients aged 75 and over who attend the Emergency Department (ED). The baseline, or static, component (3D) stratifies the degree of frailty prior to the acute illness, while the current, or dynamic, component (3D+) assesses the multidimensional impact caused by the acute illness and helps to guide the choice of care facility for patients upon their discharge from the ED. The objective of this study was to evaluate the prognostic value of the 3D/3D+ to predict short- and long-term adverse outcomes in ED patients aged 75 years and older. Multivariable logistic regression models were used to identify the predictors of mortality 30 days after 3D/3D+ assessment. Two hundred and seventy-eight patients (59.7% women) with a median age of 86 years (interquartile range: 83-90) were analysed. According to the baseline component (3D), 83.1% (95%CI: 78.2-87.3) presented some degree of frailty. The current component (3D+) presented alterations in 60.1% (95%CI: 54.1-65.9). The choice of care facility at ED discharge indicated by the 3D/3D+ was considered appropriate in 96.4% (95%CI: 93.0-98.0). Thirty-day all-cause mortality was 19.4%. Delirium and functional decline were the dimensions on the 3D/3D+ that were independently associated with 30-day mortality. These two dimensions had an area under receiver operating characteristic of 0.80 (95%CI: 0.73-0.86) for predicting 30-day mortality. 3D/3D+ enhances the provision of comprehensive care by ED professionals, guides them in the choice of patients’ discharge destination, and has a prognostic validity that serves to establish future therapeutic objectives.

Abstract：Objective: To compare the effects of fermentation on the chemical composition of Gastrodia Tuder Halimasch Powder, and to provide a basis for the processing, processing and clinical application of this medicinal material. Methods: UHPLC-Q-Orbitrap HRMS was used to identify compound structure by comparing excimer ions, characteristic fragment ions and reference substances, and referring to relevant literature and database search. The main differential components were screened by orthogonal partial least squares-discriminant analysis (OPLS-DA), and the differential components were quantitatively studied by high performance liquid chromatography, and the differences in the types and contents of chemical components before and after fermentation were compared. Results: A total of 77 compounds were identified or preliminarily derived after fermentation, including 21 terpenes, 18 organic acids, 9 flavonoids, 7 nucleosides, 6 amides, 4 amino acids, 2 pyrrolidone derivatives, 2 sterols, 2 alkaloids and 6 others.Through high performance liquid chromatography, it was found that the content of daidzein genistein and ergosterol was significantly increased after fermentation, and a new component ergosterol was produced. Compared with Gastrodia Tuder Halimasch Powder before fermentation, the content of genistin and other components was significantly reduced, and there may be a process of genistin conversion to genistein.Conclusion: The fermentation process will have a certain influence on the types and contents of the chemical components of Gastrodia Tuder Halimasch Powder, and ergosterol, genistein and .daidzein may be the main pharmacodynamic components, which can provide a useful reference for the clinical rational application, quality control and mechanism of action of Gastrodia Tuder Halimasch Powder.

How people recognize linguistic and emotional prosody in different listening conditions is essential for understanding the complex interplay between social context, cognition, and communication. The perception of both lexical tones and emotional prosody depends on prosodic features including pitch, intensity, duration, and voice quality. However, it is unclear which aspect of prosody is perceptually more salient and resistant to noise. This study aimed to investigate the relative perceptual robustness of emotional prosody and lexical tone recognition in quiet and in the presence of multi-talker babble noise. Forty young adults with normal hearing listened to monosyllables either with or without background babble noise and completed two identification tasks, one for emotion recognition and the other for lexical tone recognition. Compared with emotional prosody, lexical tones were more perceptually salient in multi-talker babble noise. Native Mandarin Chinese participants identified lexical tones more accurately and quickly than vocal emotions at the same signal-to-noise ratio. Lexical tone perception is also more robust against babble speech noise degradation than emotional prosody perception for native Mandarin Chinese listeners. Acoustic and cognitive dissimilarities between linguistic prosody and emotional prosody may have led to the phenomenon, which calls for further explorations into the underlying psychobiological and neurophysiological mechanisms.

Telemedicine, telehealth, e-Health, and other related terms refer to the exchange of medical information or medical care from one site to another through electronic communication between a patient and healthcare provider. As telemedicine infrastructure has changed since the COVID-19 pandemic, this review provides an overview of telemedicine use and effectiveness in cardiology, with emphasis on the post-pandemic context. Pre-pandemic studies tend to report statistically insignificant or modest improvements in cardiovascular disease outcome from telemedicine use to usual care. By contrast, post-pandemic studies tend to report positive outcomes or comparable acceptance of telemedicine use to usual care. Today, telemedicine can effectively replace in person follow-ups to produce comparable (but not necessarily superior) outcomes in cardiovascular disease management. A major benefit of telemedicine is the significant reduction in follow-up time or time-to-intervention which may lead to earlier detection and prevention of adverse events. Nonetheless, there remain barriers to effective telemedicine implementation in the post-pandemic context. Providing accuracy and ease-of-use of telemedicine devices, ensuring adherence to remote rehabilitation procedures, and implementing widespread telemedicine infrastructure are such examples. Current knowledge gaps include the true economic cost of telemedicine infrastructure, feasibility of use in specific cardiology contexts, and sex/gender differences of health outcomes through telemedicine use. Future telemedicine developments will need to address these concerns to achieve widespread acceptance as the new standard of care.

Slime Mould Algorithm (SMA) is a new swarm intelligence algorithm inspired by the oscillatory behavior of slime molds during foraging. Numerous researchers have widely applied SMA and its variants in various domains and proved its value by the experiments in literatures. In this paper a comprehensive survey on SMA is introduced, which is based on 130 articles visa Google-scholar between 2022 and July, 2023. Firstly, the theory of SMA is described. Secondly the improved SMA variants are provided and categorized according to the approach that they are applied with. Finally, it also discusses the main applications domains of SMA such as engineering optimization, energy optimization, machine learning, network, scheduling optimization, image segmentation and etc. This review presents some research suggestion for researcher who is interested in this algorithm.

The possibility of deep radiochemical purification of Li2CO3 has been examined in the frame of the purification program of AMoRE collaboration. In this experiment, commercial Li2CO3 was converted into LiNO3. Co-precipitation with inorganic salt-based carriers followed by membrane filtration and sorption using MDM inorganic sorbent methods were tested for the removal of alkaline-earth and transition metals, potassium, magnesium, aluminum, uranium, thorium, and radium. The calcium molybdate-based carrier was the most efficient for removing Th, U, and K. Subsequently, the radium, calcium, and barium contaminations were removed with MDM sorbent. After the impurities’ removal, the final Li2CO3 product was synthesized with NH4HCO3 sludge. The separation factors were derived by means of ICP-MS and HPGe analyses of the initial material, intermediate and final products. The study showed the optimum conditions of co-precipitation and sorption to reach a high yield and radiopurity of lithium carbonate used for low radioactive background experiments.

Purpose: The purpose of this study is to further explore how e-loyalty and E-marketing influences E-trust and satisfy the demand by offering fresh perspectives based on research as well as emphasis on the factors influencing the E-trust such as culture as a mediator. This study not only contributed theoretically but also presented practical implementations. Design/methodology/approach: Online survey was used to obtain data by focusing the Hospitality sector (Hotel Industry) and verifying the conceptual framework. Data was collected in multiple time lags. Findings: Findings showed that the E-trust influenced by E-loyalty and E-Marketing. E-trust comes from the previous experiences, e-loyalty and e-marketing. Further, some trends such as culture influenced the e-trust. Research limitation/implications: The present study is quite suitable for those Researchers interested in learning more about the effects of E-loyalty and E-marketing on user E-trust and how to mitigate cultural influences can benefit from the current study. This research also has implications for those who wish to improve market allure and survival in digital world. This study focused on the hospitality sector (Hotel Industry) in China; however, the sector and geography could be altered to suit the needs of the study's participants. Practical implications: The present study delivers the practical guidelines which are quiet suitable for understanding the formation of E-loyalty, E-marketing, and E-trust through which specific E-marketing strategy can be designed to deal with the consumer’s E-loyalty and their expectations as per their Cultural perspective. At some particular regions/countries, cultural trends are more important than practical market. This research study practically showed that how culture changed the consumer set of mind. Originality/value: The relationship between E-loyalty, E-marketing, E-trust, specifically with the cultural influence in digital market has been the subject of few research.

Background: In the 21st century, grandparenthood is a significant phenomenon in the fields of demography, gerontology and sociology. It is mainly explored in the context of ageing, as it is poised to become one of the most significant demographic phenomena and social issues in contemporary South Africa. Therefore, this study examined the determinants associated with grandparents who are parenting as caregivers and the health challenges they are exposed to as a caregiver. Methods: The National Income Dynamics Study (NIDS) Wave 5 dataset was utilized, and a total of 302 476 grandparents aged 25 years and older, who reported to be primary caregivers of double orphans, were included in the analysis. Both bivariate and multivariate binary logistics regression were performed to determine the predictors of the determinants of grandparents parenting as a caregiver and their health challenges in South Africa. Estimated odds ratios (ORs) with 95% confidence intervals (CIs) were used, and the threshold for statistical significance was established at ρ< 0.05. Results: A majority of the male and female grandparent caregivers are aged 24-34 years, were black Africans (69.8%), had secondary education (46.9%), reported health challenges (HC) (59.7%), with 26.4% reporting headaches in the last 30 days. Logistic regression revealed that grandparent caregivers aged 55-64 years were 8.9 times more likely to report health challenges as compared to those aged 25-34 years. Non-black African grandparent caregivers were found to be 0.61 times less likely to be report health challenges, compared to Black African grandparent caregivers. Those with perceived poor health status were 3.3 times more likely to report health challenges, compared to those with excellent perceived health status. Conclusion: Therefore, there is an urgent need to redesign health interventions to address these health burdens among grandparent caregivers and to take cognizance of providing economic and social support for these vulnerable populations.

A preventive effect for tea and its bio active components in cardiovascular health has been suggested by the results of several epidemiological studies, treatments utilizing randomized controlled trials, and mechanistic investigations. Therefore, scientific interest in green tea's ability to prevent cardiovascular diseases (CVDs) is growing. Green tea benefits for the metabolic syndrome, which includes diabetes and hypertension but may also raise cholesterol levels. Additionally, green tea reduces the mortality from any cause, arrhythmia, stroke, coronary heart disease, heart failure, and other conditions.

Due to the success of artificial intelligence (AI) applications in the medical field over the past decade, concerns about the explainability of these systems have increased. The reliability requirements of black-box led algorithms for making decisions affecting patients pose a challenge even beyond their accuracy. Recent advances in AI increasingly underscore the need to incorporate explainability into these systems. While most traditional AI methods and expert systems are inherently interpretable, recent literature has focused primarily on explainability techniques for more complex models such as deep learning. This scoping review analyzes the existing literature on explainability and interpretability of AI methods in the medical and clinical field, providing an overview of past and current research trends, and limitations that might impede the development of Explainable Artificial Intelligence (XAI) in medicine, challenges, and possible research directions. In addition, this review discusses possible alternatives for leveraging medical knowledge to improve interpretability in clinical settings, while taking into account the needs of users.

The role of calcium ions (Ca2+) is extensively documented and comprehensively understood in eukaryotic organisms. Nevertheless, emerging insights, primarily derived from studies on human pathogenic bacteria, suggest that this ion also holds a pivotal role in prokaryotes. In this review, our primary focus will be on unraveling the intricate Ca2+ toolkit within prokaryotic organisms, with particular emphasis on its implications in plant growth promoting rhizobacteria (PGPR). To pinpoint and identify homologues of Ca2+ channels, pumps, exchangers, and Calcium-Binding Proteins (CaBPs) we undertook an in silico exploration in the genomes of four distinct PGPR strains using as query prokaryotic sequences that were experimentally confirmed to play a role in regulating intracellular calcium concentration ([Ca2+]i) or sensing and transducing this essential cation. These investigations were conducted in Pseudomonas chlororaphis subsp. aurantiaca SMMP3, P. donghuensis SVBP6, Pseudomonas sp. BP01, and Methylobacterium sp. 2A. which have been isolated and characterized within our research laboratories. We also present experimental data to evaluate the influence of exogenous Ca2+ concentrations ([Ca2+]ex) on the growth dynamics of these isolated strains

EGFR tyrosine kinase inhibitors (TKIs) are the preferred initial treatment for non-small cell lung cancer (NSCLC) patients harboring EGFR mutations. However, remission is transient, and no further effective treatment options are available for EGFR-TKI-advanced EGFR-mutant NSCLCs. Immunotherapy with immune checkpoint inhibitors (ICIs) induces sustained cancer remission in a subset of NSCLCs. However, ICI therapy exhibits limited activity in most EGFR-mutant NSCLCs. Mechanistically, the strong oncogenic EGFR signaling in EGFR-mutant NSCLCs contributes to the non-inflamed tumor immune microenvironment (TIME), characterized by a limited number of CD8+ T cell infiltration, a high number of regulatory CD4+ T cells and a high number of inactivated infiltrated T cells. Besides, EGFR-mutant NSCLC patients are generally non-smokers with low levels of PD-L1 expression and tumor mutation burden. However, current understanding only partially explains why a small population of EGFR-mutant NSCLCs durably respond to ICI therapy, resulting in many researchers actively working in this field. This review reviews the hope seen from pre-clinical studies and clinical trials which may be adopted to improve the outcome of ICI therapy in EGFR-mutant NSCLCs. Besides, the underlying mechanisms leading to the inferior clinical outcome of ICI therapy in EGFR-mutant NSCLCs are discussed.

Oral pyogenic granuloma (PG) is generally a solitary benign connective tissue proliferation of unknown etiology. It is the most common type of oral inflammatory hyperplasia histologically characterized by proliferation of granulation tissue with inflammatory infiltrates and high angiogenic capacity. Vascular neoformations of different diameters are usually present. Due to their structural characteristics, tendency to bleed, and rapid and alarming growth rate, these neoformations may have serious consequences. Sometimes, it is complex to make an accurate diagnosis. Therefore, adequate management and treatment are based on the characteristics and systemic conditions of each patient. This review was carried out to provide an overview of the factors involved in, or attributed to the etiopathogenesis of oral PG. It describes the different forms of presentation and clinical evolution, as well as the most frequent signs and symptoms that characterize this disease, while incorporating recent radiographic and microscopic findings. In addition, it describes the different modalities for the management of oral pyogenic granuloma depending on the particular characteristics of each patient.

The research employs both literature and experimental data to develop reasonable strategies for melon fly control. The objects of research were sierozem soils of the Zhanakorgan region (Kyzylorda region), bentonite clays of the Sauran region (Turkestan region), vermicompost obtained at the production site of the Research Institute "Ecology" at the International Kazakh-Turkish University named after Khoja Ahmed Yasawi. The competitive agent 'Vermiserbent' was developed by combining sulphur-perlite-containing waste (SPCW), vermicompost (VC), and natural bentonite clay. When incorporated into the soil, it serves as both an insecticide and a fertiliser recovery agent. Disinfection and enrichment of barren Sierozem soils in southern Kazakhstan could provide an eco-friendly approach to protect cucurbits (melon, watermelon, and pumpkin) against the melon fly. The average yield of watermelon treated with vermiserbent increased by 2.3 t/ha compared to the control, melon by 4.6 t/ha, pumpkin by 5.6 t/ha. The marketability of gourds as watermelons and melon after treatment with fertilizer increased by 1.2 times, and pumpkin by 1.1 times. The findings of studies conducted in agricultural fields in the Turkestan and Kyzylorda regions have shown that it is possible to produce environmentally sound gourds using a mixture of vermicompost, bentonite, and SPCW.

Puberty identifies the transition from childhood to adulthood. It normally lasts from 3 to 5 years and begins from 9 years in males and 8 years in females, although with differences related to familiarity and geographical origin. Precocious puberty is the onset of signs of pubertal development before age 8 in girls and before age 9 in boys, it has an incidence of 1/5000–1/10.000 with an F:M ratio ranging from 3:1 to 20:1. Based on the mechanism that triggers puberty, precocious puberty can be classified as central, also known as gonadotropin-dependent precocious puberty or true precocious puberty, and peripheral, also known as gonadotropin-independent precocious puberty or precocious pseudopuberty. Thus, the main aim of this narrative report is to describe the standard clinical management and therapy of precocious puberty according to the experience and expertise of pediatricians and pediatric endocrinologists at Policlinico Umberto I, Sapienza University of Rome, Italy. In the suspicion of early sexual maturation, it is important to collect information regarding the age of onset, the speed of maturation of secondary sexual characteristics, exposure to exogenous sex steroids and the presence of neurological symptoms. The objective examination, in addition to the evaluation of secondary sexual characteristics, must also include the evaluation of auxological parameters. Initial laboratory investigations should include serum gonadotropin levels (LH and FSH) and serum levels of the sex steroids. Brain MRI should be performed as indicated by the 2009 Consensus Statement in all boys regardless of chronological age and in all girls with onset of pubertal signs before 6 years of age. The gold standard in the treatment of central precocious puberty is represented by GnRH analogs, whereas as far as peripheral forms are concerned, the triggering cause must be identified and treated. At the moment there are no reliable data establishing the criteria for discontinuation of GnRH analogs therapy. However, numerous pieces of evidence suggest that the therapy should be suspended at the physiological age at which puberty occurs.

The inaugural AIDS Program in Brazil was established in São Paulo in 1983, with the Instituto Adolfo Lutz appointed for laboratory assistance. Subsequently, research on HIV infections and HIV/HTLV (HIV/HTLV-1 and HIV/HTLV-2) co-infections were conducted. This narrative review focuses on studies from the Immunology Department (1983–2017) that significantly influenced AIDS diagnosis or provided epidemiological data such as prevalence rates, sex, age, and risk factors. Ten studies, encompassing over 8,000 individuals, are discussed. During 1983–1985, nearly all AIDS cases were attributed to homosexual/bisexual men aged 31 years old. Subsequently, heterosexual men and women emerged as risk groups owing to intravenous drug use (IDU) and/or unprotected sexual intercourse with AIDS patients or multiple partners per year. From 1985 onwards, vertical transmission led to child infections. HIV/HTLV co-infection rates decreased over time, initially associated with male IDU, and in the 2010s, with females, IDU, and individuals aged &gt;40 years. Trends in HIV and HIV/HTLV co-infections among younger men and women (&lt;30 years of age) were observed from 2015–2017. The changing characteristics and risk groups for HIV and HIV/HTLV co-infections over the years underscore the necessity for ongoing public policies to prevent retrovirus transmission, particularly among adolescents and young adults.

The Receptor Binding Domain (RBD) of SARS-CoV-2, the virus responsible for the COVID-19 pandemic, is the functional region of the viral Spike protein (S), which is involved in cell attachment to target cells. The virus has accumulated progressively mutations in its genome, particularly in the RBD region, many of them associated with immune evasion to the host neutralizing antibodies. Some of the viral lineages derived from this evolution, have been classified as Variant of Interest (VOI) or Concern (VOC). The neutralizing capacity of a F(ab’)2 preparation from sera of horses immunized with viral RBD was evaluated, by lytic plaque reduction assay, against different SARS-CoV-2 variants. A F(ab’)2 preparation of an hyperimmune serum with 15 immunizations with RBD, exhibited a high titer of neutralizing antibodies against the ancestral-like strain (1/18,528). A reduction in the title of the F(ab’)2 preparation was observed against the different variants tested. The highest reduction was observed for the Omicron VOC (4.7 fold), followed by the Mu VOI (2.6), Delta VOC (1.8 fold) and Gamma VOC (1.5). Even if a progressive reduction in the neutralizing antibodies titer against the different variants evaluated was observed, the serum still exhibited a significant neutralizing titer, against the Mu VOI and the Omicron VOC (1/7113 and 1/3918 respectively), the strains evaluated most resistant to neutralization.

The phenomenon of ordered self-assembly on solid substrates is a topic of interest in both fundamental surface science research and its applications in nanotechnology. The regulation and control of two-dimensional (2D) self-assembled supra-molecular structures on surfaces have been realized through applying external stimuli. By utilizing scanning tunneling microscopy (STM), researchers can investigate detailed phase transition process about self-assembled monolayers (SAMs), providing insight into the interplay between intermolecular weak interactions and substrate-molecule interactions, which govern the formation of molecular self-assembly. This review will discuss the structural transition of self-assembly probed by STM in response to external stimuli and provide state-of-art methods such as tip induced confinement for the alignment of SAM domains and selective chirality. Finally, we discuss the challenges and opportunities in the field of self-assembly and STM.

In order to better realize rural revitalization, this paper analyzes the spatial and temporal char-acteristics and influencing factors of agricultural surface source pollution in the Yangtze River Economic Belt from the three perspectives of government, enterprise and agriculture by using the spatial Durbin model and the dynamic GMM method in the period of 2006-2021, and further re-searches the threshold characteristics of the distortion of the factor market on the agricultural surface source pollution under the different strengths of environmental regulation. The results show that there is a positive spatial correlation between agricultural surface pollution in the Yangtze River Economic Belt, and government environmental regulation, input factor market distortion and labor force transfer all have a significant impact on agricultural surface pollution. Among them, factor market distortion has a significant spatial spillover effect on agricultural surface pollution in the Yangtze River Economic Zone, and has a significant single-threshold ef-fect on environmental regulation. Accordingly, the government should strengthen environmental regulation, continuously improve the agricultural factor market mechanism, and pay attention to the construction of talents to provide support for rural revitalization.

Three-dimensional (3D) and four-dimensional (4D) printing emerged as the next generation of manufacturing techniques, spanning several research areas such as engineering, chemistry, biology, computing, and materials science. Three-dimensional printing allows the manufacture of complex shapes with high precision, by adding layer by layer of different materials. The use of smart materials that change shape or color, produce an electrical current, become bioactive, or perform an intended function in response to an external stimulus. Shape memory materials (SMMs) in 3D printing technology have attracted a lot of attention due to their ability to respond to external stimuli, leading this technology towards an emerging area of research, "4D printing technology." The core part of this review summarizes the effect of the main external stimuli on 4D textile materials followed by the main applications 4D printed textiles can change their shape over time due to external stimuli such as temperature.

As digital technologies rapidly integrate into Health Professions Education (HPE), gaining a comprehensive understanding of cyberethics becomes crucial. This scoping review aimed to explore the pedagogy of cyberethics within HPE, with an emphasis on its definitions, conceptualizations, theoretical foundations, and interventions. Drawing from 37 documents spanning 2012-2022, primarily originating from the U.S. and encompassing both peer-reviewed and grey literature, the study highlighted a significant gap in the explicit definition and conceptualization of cyberethics. Additionally, the evident lack of specific theoretical frameworks in the majority of these documents could hamper the progression and replicability of research. Among the reviewed articles, only four introduced cyberethics educational interventions, indicating a substantial avenue for future research. While the study utilized comprehensive search methods, limitations such as language biases and the potential omission of pertinent documents were present. Future investigations should broaden the cyberethics discourse to encompass emerging technologies and their ethical implications within HPE. Crafting comprehensive, culturally sensitive, and inclusive guidelines is pivotal in nurturing ethical digital practices in the health care community.

"Finding fresh water in the ocean of data." is a challenge that all deep learning domains struggle with, especially in the area of hyperspectral image analysis. As hyperspectral remote sensing technology advances by leaps and bounds, there are increasing amounts of hyperspectral images(HSIs) can be available. Whereas in fact, these unlabeled HSIs are powerless to be used as material to driven a supervised learning task due to the extremely expensive labeling costs and some unknown regions. Although learning-based methods have achieved remarkable performance due to their superior ability to represent features, at the cost, these methods are complex, inflexible and tough to carry out transfer learning. In this paper, we propose the "Instructional Mask AutoEncoder"(IMAE), which is a simple and powerful self-supervised learner for HSI classification that uses a transformer-based mask autoencoder to extract the general features of HSIs through a self-reconstructing agent task. Moreover, we utilize the metric learning to perform an instructor which can direct the model focus on the human interested region of the input so that we can alleviate the defects of transformer-based model such as local attention distraction, lack of inductive bias and tremendous training data requirement. In downstream forward propagation, instead of global average pooling, we employ a learnable aggregation to put the tokens into fullplay. The obtained results illustrate that our method effectively accelerates the convergence rate and promotes the performance in downstream task.

Aimed for the difficulty and complexity of detecting the piston error for segmented telescope, this paper proposed a new piston error measurement method based on a hybrid artificial neural net-work. Firstly, we use Resnet network to learn the mapping relationship between the focal plane degradation image and the signs of the piston error. Then, based on the established theoretical re-lationship between modulation transfer function and the piston error, BP neural network is used here to learn the mapping relationship between the MTF and the absolute value of the piston error. After the training of the hybrid network is completed, a wide-range and high-precision detection of the piston error of the sub-mirrors can be achieved using the combined output of the two net-works only a focal plane image of a point source with broadband illumination is used as input. The detection range can reach the whole coherent length of the input broadband light, and the detec-tion accuracy can reach 10nm. The method proposed in this paper has the advantages of high de-tection accuracy, wide detection range, low hardware cost, small network scale and low training difficult.

The composition and pattern of ecosystems are important factors determining the overall status and spatial differences of ecosystem service functions. However, under the background of differential land policies and ecological protection policies, research on the trend of ecological system pattern changes in the Fenhe River Basin is insufficient. Taking the upper and middle reaches of the Fenhe River Basin as the study area, based on long-term NDVI index and multi-period LUCC remote sensing images, this study used spatial statistics and time trend analysis methods to analyze the spatio-temporal dynamic changes of vegetation, land use, landscape pattern, and explored the impact of major driving factors on ecosystem changes. The results show that: (1) From 2010 to 2020, the vegetation cover in the upper and middle reaches of the Fenhe River Basin increased, with an annual NDVI increment of 0.003 (P<0.001). NDVI showed an increasing trend spatially, with significant statistics (P<0.001) and significant changes (P<0.05) in vegetation in high-altitude mountain areas, and the vegetation cover was mostly forests or grasslands. There was no significant change in vegetation cover in the low-lying urban agglomeration area. (2) From 2010 to 2020, the area of water bodies or wetlands in the study area significantly decreased, with 51.3% converted to arable land and 33.9% transferred to construction land, while only 2.2% remained as water bodies or wetlands. From 2015 to 2020, the trend of water body changes slowed down, with the proportions of conversion to arable land and construction land being 44.0% and 18.4% respectively, while the area of wetlands or water bodies remained at 16.3%. During the period of 2015-2020, the area of water bodies or wetlands converted to other land types increased by more than 14% compared to 2010-2015. This proportion reached more than 30% compared to the 13th Five-year Plan Period. (3) From 2010 to 2020, the spatial changes of landscape diversity (SHDI) and evenness (SHEI) of LUCC showed heterogeneous characteristics. In the high-altitude areas near the river basin boundary, the values of SHDI and SHEI were below 1.0. While in the low-altitude plain areas and urban areas with relatively frequent human activities, the values of SHDI and SHEI were above 1.0, and the values in urban areas could reach above 1.5. The evolution of ecosystem patterns in the upper and middle reaches of the Fenhe River Basin in the past decade has been clarified, providing a scientific basis for the construction and management of ecological environment governance and restoration projects in the Fenhe River Basin, and providing practical references for ecological protection and high-quality development practice in the Yellow River Basin.

A fascinating topic that has not been recently revisited by bioethics is the ethics of human experimentation within the military context, in keeping with the pace of modern technology development. Many research innovations stem from military research, where emerging technologies are first applied in the field then eventually repurposed for civilian contexts. This commentary presents an ethical framework for the usage of military personnel as research subjects, within the context of modern military research such as epigenetic technology development in soldiers. Tensions are raised between existing military versus civilian bioethical frameworks for human experimentation and compared to risk-benefit assessments within and beyond the military context. A harmonized ethical framework is proposed for the use of research subjects within the military. The pace of modern scientific research, particularly in genomics, poses new ethical considerations of genetic profiling, consent, risk, and data privacy that urges a timely revisit of military bioethics.

In order to create a smart mine, it is necessary to digitize the existing emulsion pumping station. Existing research does not achieve this task, this paper designs and manufactures a high-pressure, high-flow, high-water-based mining digital controlled unloading valve (abbreviated as HLHMDCUV), which achieves good results in both theoretical analysis and experimental testing. In order to obtain the accurate dynamic characteristics, this valve was analyzed by simulation using AMESim. Based on the dynamic performance analysis and the flow field analysis inside the valve body, the structure has been optimized to improve the performance of HLHMDCUV. The results show that the HLHMDCUV has a better dynamic characteristics, which were also demonstrated in the experiment. At the same time, the HLHMDCUV is easy to disassemble and maintain. This paper provides a theoretical basis for the design of such valves, which is conducive to the subsequent promotion of intelligent mine transformation.

The dissolution of Al2O3 non-metallic inclusions from slag containing FexO was investigated in this study. The slag system used in the experiments was a quaternary system of CaO-SiO2-Al2O3-FexO. The composition of the slag was studied by fixing the basicity (CaO/SiO2 ratio) to 1 and varying the FexO content to 10 and 20wt%. In addition, the experimental temperature was varied as 1550℃, 1575℃, and 1600℃ to study the effect of temperature on the Al2O3 dissolution behavior. The experimental equipment is a single hot thermocouple apparatus. The dissolution rate of Al2O3 particles increased linearly with increasing temperature and FexO content. In addition, the mass transfer activation energy of Al2O3 dissolution in FexO 10wt% and FexO 20wt% was calculated by an Arrhenius type analysis. The obtained mass transfer activation energies were 159 and 189 kJ/mole, respectively.

The National Institute of Justice reported that current methods for processing sexual assault samples have a high failure rate, with 60 to 80 percent of tested kits unable to produce usable DNA profiles. Even when samples test positive for male DNA, 34 percent of sexual assault kits (SAK) do not yield recovered male DNA after differential extraction. Less than 30% recovery of available sperm DNA contributes to this low success rate. The SpermX™ method (SX) has been shown to recover 80 percent or more of sperm DNA from sexual assault samples. An interlaboratory evaluation compared SX to standard differential extraction (DE) protocols. Mock samples with known ratios of female epithelial cells and sperm cells were processed using both methods. Results revealed that SX consistently provided CODIS up-loadable DNA profiles, even with as few as 25 sperm cells, whereas DE failed to produce usable results. On average, SX yielded a seven-fold increase in the recovery of unshared male alleles compared to DE. In conclusion, SX outperformed DE in recovering higher quantities of male DNA with minimal female carryover in sexual assault-type samples. This improved success rate in obtaining usable DNA profiles can significantly aid in solving sexual assault cases. Keywords: Differential extraction, Sexual Assault Kit (SAK), Sperm DNA, STRmix™, Combined DNA Index System (CODIS), Forensic DNA analysis, Low Sperm Samples, DNA Mixtures, Autosomal STR Analysis, SpermX.

This study examines the impact of weeds on sweet corn, where weeds compete with the main agricultural crops for essential elements such as nutrients, water, sunlight, and space for growth. In general. the use of herbicides is meant to suppress weed growth. Organic matter is important for plant growth and affects herbicide persistence. The study was aimed to explore the interdependence between ametryn herbicide and organic matter content and its impacts on weed growth, herbicide persistence, and sweet corn yield. The experiment was initiated in 2022 at the Experimental Station of the Faculty of Agriculture, Padjadjaran University, Indonesia, using a Split Plot Design in a Randomized Complete Block Design (RCBD) with three replicates. The experiments consisted of three levels of organic matter, i.e. low, medium, and high and 6 levels of ametryn herbicide at 0.0 (control), 0.5, 1.0, 1.5, 2.0, 2.5 kg a.i./ha. The results indicated that the apparent interdependence between ametryn herbicide doses of 1.5, 2.0 and 2.5 kg a.i./ha and the three levels of the organic matter content totally suppressed the weed growth. However, the effects of interdependence between ametryn herbicide and organic matter content on the herbicide persistence and on the sweet corn yield were not obvious. The ametryn herbicide gave excellent effects on sweet corn yield. Bioassay analysis showed that the lowest persistence of ametryn herbicide was in line with the highest content of the organic matter.

Over the last few decades, contemporary museums have undergone a radical change into public places that promote socio-economic sustainability by impeding recreation, commercial, and cultural activities. This shift altered public perception of museums globally and had a profound impact on today's museums, resulting in new prototypes that differed significantly from prior ones. The study tries to answer the following questions: How far have Egyptian museums been evolving over the last decade? To what degree the radical transformation in the museum design can assist in fulfilling Egypt’s SDGs? To answer these questions the study attempts to explore how far Egyptian museums have adapted to this fundamental change by tracing the evolution of Egyptian museum design compared with the findings of the author's previous thesis in 2012 and Egypt’s SDGs The study used qualitative methods which began with a thorough literature review followed by a comparative analysis of the selected case studies. . The findings revealed that the contemporary design of the recent Egyptian museums by including the social and economic activities, significantly support the national and global agenda in term of SDG. The article provides architects, designers, and policy makers with clear design criteria to enhance the social and economic role of museums towards fulfilling SDGs.

Log collection and storage is a crucial process for enterprises around the globe. Log analysis helps identify potential security breaches and, in some cases, is required by law for compliance. However, enterprises often delegate these responsibilities to third-party Cloud Service Providers (CSPs), where the logs are collected and processed for anomaly detection and stored in a data warehouse for archiving. Prevalent schemes rely on plain (unencrypted) data for anomaly detection. More often, these logs can reveal sensitive information about an organization or the customers of that organization. Hence, it is best to keep it encrypted at all times. This paper presents "SigML++," an extension of work done in "SigML." We utilize Fully Homomorphic Encryption (FHE) with the Cheon-Kim-Kim-Song (CKKS) scheme for supervised log anomaly detection on encrypted data. We use an Artificial Neural Network (ANN) based probabilistic polynomial approximations using a Perceptron with linear activation. We probabilistically approximate the Sigmoid activation function (σ(x)) in the encrypted domain for the intervals [−10,10] and [−50,50]. Experiments show better approximations for Logistic Regression (LR) and Support Vector Machine (SVM) for low-order polynomials.

The purpose of this study was to evaluate the financial performances of the publicly held healthcare companies in crisis periods in Türkiye. The 2018 Economic Crisis and the COVID-19 pandemic crisis were included in the study as the crisis periods. We collected the financial data of the publicly held healthcare companies and calculated three liquidity, three turnover, three leverage and three profitability ratios by ratio analysis to use as financial performance indicators. We then conducted Wilcoxon signed-rank tests and we did separate analyses for the 2018 Economic Crisis and the COVID-19 pandemic crisis. The results of the analyses showed that there were no statistically significant differences between the publicly held healthcare companies’ liquidity, turnover, leverage, profitability ratios and thus their financial performances before the crises and after the crises. While the results are reassuring and give valuable insights to managers and policy makers to determine the areas that needs to be strengthened to be better prepared for possible future crises, our sample was limited. Therefore, this study presents an exploratory foundation for future studies which are needed to make a case of financial stability for the publicly held healthcare companies before and after the crisis periods.

There are two purposes for this article. The first purpose is to perform a reiew of previous research on global supply chain management (GSCM) principles that can adapt and survive adversity, such as the COVID-19 pandemic. The second purpose is to put forth a conceptual framework for the GSCM that is sustainable in the event of future turbulence similar to that experienced during the COVID-19 pandemic. With regard to the issues raised, the article posits the following questions. Is there, perhaps, a sustainable post-COVID-19 pandemic GSCM? Can the COVID-19 pandemic-related international logistics system (GSC) turbulences be predicted with certainty using these sustainable post-COVID-19 pandemic GSCM concepts? Putting it all together, the paper concludes that, while debatable, sustainable GSCM is feasible and can be accomplished utilizing JIT, supply chain mitigation, and supply chain visibility, as demonstrated by the manufacturing firms referenced in the article.

Among various processes, catalytic CO2 methanation has emerged as a promising method for carbon capture and utilization. Therefore, a CO2 methanation reaction studied with experimentally. The extent of coke formation on the catalyst after the reaction was quantitatively studied. Then, four different machine learning model were employed in order to model CO2 methanation process and to predict CO2, CO, CH4, H2 and N2 concentrations at outlet. The results of the machine learning models were consistent with the experimental data. Performances of the proposed regression methods are evaluated with 10-fold cross validation. Random forest and decision tree regression performed the best among other methods by achieving R >0.98 for the output concentrations and were able to outperform other modeling approaches. It was shown that the best result among the literature studies is reached in this study. The results have demonstrated the possibility of simulation of the methanation process via machine learning techniques. These techniques can be used control and optimization of carbon capture.

A new layout optimization method for offshore wind farms is proposed to minimize power deficits due to wake effect. The main engine of the algorithm is a gradient-descent method, in which an analogy is established between power deficit and repulsive electrostatic potential energy. To achieve a maximum dispersion in the initial solution, throughout the optimization process, new turbines are included in the centre of the concession area, and quickly expand outward looking for areas with less potential, in turn pushing the previous ones. When the optimization process ends, to avoid local maximums, it enters into a process of suppression of the set of locations that cause the greatest potential (power deficit). Then, a potential map of the entire area is created and a greedy algorithm includes new turbines to complete the layout with the final number of turbines. To speed up the search process and the creation of the potential map, two simplifications have been validated and added: the spatial distribution of velocities has been converted into its equivalent with point symmetry; and, for turbines affected by multiple wakes, the power deficit has been calculated by using a linear aggregation of powers, instead of the usual linear (or quadratic) aggregation of speeds. Owing to this type of aggregation, the process is accelerated in a factor of 90.

The development of cost-effective methods for estimating hydraulic conductivity profiles has been an ongoing effort in the field of engineering practice, which can be used to increase availability to clarify the hydrogeological complexity of fractured rock aquifers for the aid of solving groundwater-related problems. A methodology is presented, which combines electrical well logs, fluid conductivity logs, double packer hydraulic tests, Archie’s law, and the Kozeny-Carman-Bear equation to investigate relations between formation factor and hydraulic conductivity. This method was applied to develop hydraulic conductivity profiles based on the data collected from 88 boreholes in Taiwan's mountainous areas. The investigation results include: (1) Well logging signals were suggested to be categorized by rock types to establish effective relationships with hydraulic conductivity. (2) Removing the mud-bearing section data with two proposed data clustering techniques could effectively enhance the correlation between the formation factor and hydraulic conductivity. (3) The predictive models for estimating hydraulic conductivity have been developed for sandstone, schist, and slate. (4) The prevalence of clay content in most of Taiwan's mountainous rock formations has been found, which implies that careful consideration of clay-related issues in complex geologic formations is essential while applying Archie's law theory.

Preterm birth (PB) is a leading cause of perinatal morbidity and mortality. PB prediction is per-formed by measuring cervical length, with a detection rate of around 70%. Although it is known that a cytokine-mediated inflammatory process is involved in the pathophysiology of PB, no screening method implemented in clinical practice includes cytokine levels as a predictor varia-ble. Here, we quantified cytokines in cervical-vaginal mucus of pregnant women (18-23.6 weeks of gestation) with high- or low-risk for PB determined by cervical length, collecting relevant obstetric information. IL-2, IL-6, IFN-γ, IL-4, and IL-10 were significantly higher in the high-risk group, while IL-1ra was lower. Two different models for PB prediction were created using the Random Forest machine-learning algorithm: the full model with 12 clinical variables and cyto-kine values, and the adjusted model, including the most significant variables -maternal age, IL-2, and cervical length- (detection rate 66 vs 87%, false positive rate 12 vs 3.33%, false negative rate 28 vs 6.66%, and area under the curve 0.722 vs 0.875, respectively). The adjusted model integrat-ing cytokines showed a detection rate 8 points higher than the gold standard calculator, which may allow us to identify PB risk more accurately and implement strategies for preventive in-terventions

Objective: The current study aimed to delineate the relationship of furin with inflammation while cervical intraepithelial neoplasia progresses to cancer. Study Design:This cross-sectional study included 81 women who required colposcopic examinations. The study groups were formed based on pathological results: Group I included women with cervical intraepithelial neoplasia (CIN) I (n=30); Group II included women with CIN II-III (n=28); and Group III included women with cervical cancer (CC) (n=23). Furin, ki-67, and p16 levels were evaluated based on immunostaining intensity. The inflammatory indices were calculated parallel with the literature from routine blood samples retrieved within one week before the procedure. Results:Furin expression gradually increased from CIN I to CIN II-III and from CIN II-III to CC, respectively (p < .001, p = .005). The NLR, MLR, PLR, and SII were significantly higher in the CC group (p < .001). ROC curve analysis unveiled that NLR, MLR, PLR and SII predicted the presence of CC with a cutoff value of 2.39 for NLR (sensitivity: 91.3%, specificity: 63.8%, AUROC: 0.79, p < .001); a cutoff value of 0.27 for MLR (sensitivity: 78.3%, specificity: 72.4%, AUROC: 0.77, p = .009); a cutoff value of 123 for PLR (sensitivity: 100%, specificity: 41.4%, AUROC: 0.70, p = .04); and a cutoff value of 747 for SII (sensitivity: 69.6%, specificity: 90.7%, AUROC: 0.71, p = .014). Conclusion:Furin expression increased gradually in parallel to the severity of cervical intraepithelial neoplasia. The inflammatory indices were higher in the presence of CC and denoted good discrimination ability for predicting cervical cancer.

Microcystis aeruginosa is a common cyanobacteria found in water blooms and often causes ecological harm. Antibiotics are also increasingly used for the prevention and treatment of bacterial infections in aquaculture. However, since most antibiotics cannot be fully metabolized, they enter the water environment and cause ecological impacts. In this paper, the effects of the two quinolone antibiotics (enrofloxacin and ciprofloxacin) on the population density and microcystins (MCs) production of Microcystis aeruginosa were studied. It is of great significance for the ecological risk assessment of antibiotics to the water environment. The results showed that the 96h EC50 values of enrofloxacin and ciprofloxacin to Microcystis aeruginosa were 56.10mg/L and 49.80mg/L respectively, and the toxicity of ciprofloxacin to Microcystis aeruginosa was slightly stronger than that of enrofloxacin. With the increase of the two quinolone antibiotic concentration, the growth inhibition rate (IR) increased, but when the concentration reached a certain height, the IR would reach its threshold. Long-term exposure to low concentrations of these two quinolone antibiotics is not only more likely to lead to the outbreak of Microcystis aeruginosa, but also increase its toxin production capacity. The highest contents of MCs in enrofloxacin and ciprofloxacin groups were 95.539 μg/g and 93.720 μg/g, respectively. The MCs value of these three enrofloxacin treatment groups was more than above 51.8 times that of control group (CK) on the 4th day; from 8th day to 14th day, the MCs value of these three enrofloxacin treatment groups was more than above 3.2 times that of CK group. For another ciprofloxacin, the MCs value of the treatment group was more than 64.98 times that of the CK group on the 4th day, and from 8th day to 14th day, the MCs value of the treatment group was more than 2.7 times that of the CK group. These findings provide crucial management rationale.

(1) Background: SARS-CoV-2 infection is mostly accompanied by mild COVID-19 symptoms in children. However, the multisystem inflammatory syndrome (MIS-C) and long-term sequelae are often severe complications. Therefore, the protection of the pediatric population against SARS-CoV-2 with effective vaccines is particularly important. Here we compare the humoral and cellular immune responses elicited in children (n=15) aged 5-11 years vaccinated with RBD-based vaccines combined in a heterologous scheme of SOBERANA® 02 and SOBERANA® Plus with those from children (n=10) aged 4-11 years who recovered from mild symptomatic COVID-19. (2) Methods: Blood samples were taken 14 days after last dose for vaccinated and 45-60 days after the infection diagnosis for COVID-19 recovered children. Anti-RBD IgG and ACE2-RBD inhibition were assessed by ELISA; IgA, cytokine and cytotoxic related proteins profile were determined by multiplex assays. Total B and T cell subpopulations and IFN-γ release were measured by multiparametric flow cytometry using a large panel of antibodies after in vitro stimulation with S1 peptides. (3) Results: Significant higher levels of specific anti-RBD IgG and IgA and ACE2-RBD inhibition capacity were found in vaccinated children in comparison to COVID-19 recovered children. Th1-like and Th2-like CD4+ T cells were also significantly higher in vaccinated subjects. IFN-γ secretion were higher in central memory CD4+ T cells of COVID-19 recovered children, but no differences between both groups were found in CD4+ and CD8+ T cells effector, terminal and naïve T cell subpopulations. High levels of IL-2, IL-6, IFN-γ and IL-10 in contrast to low levels of IL-4 suggesting a predominant Th1 cell polarization. Cytotoxic-related proteins granzyme A and B, perforin and granulin were also found in the supernatant after S1 stimulation in both vaccinated and recovered children. (4) Conclusions: Vaccination with the heterologous scheme of SOBERANA® 02/ SOBERANA® Plus induces strong antibody and cellular immune response compared to natural infections of young children.

CuO/ZnO/Al2O3 catalyst is a commonly used catalyst for rea methanol steam reforming reaction. Oxalic acid was as precipitant in preparing oxalate precursor of CuO/ZnO/Al2O3 catalyst by co-precipitation, deionized water and ethanol were as solvents, microwave irradiation and water bath were as aging heating manner respectively. It indicated that ethanol selected crystal phase composition of oxalate precursors and restricted their growth. Microwave irradiation prompted the isomorphous substitution between Cu2+ of CuC2O4 and Zn2+ of ZnC2O4 in mother liquid, forming the master phase (Cu,Zn)C2O4 in precursor, the solid solution Cu-O-Zn formed after calcination, which exhibited nano-fibriform morphology. It possessed small CuO grains, large surface area and strong synergy between CuO and ZnO, which is beneficial to improve the catalytic performance of methanol steam reforming, the STY of H2 reached 516.7 mL·g-1·h-1, and the selectivity of CO was only 0.29%.

This research aims to thoroughly understand the delicate interplay between stakeholders' perspectives, biometric data protection policies, and the deployment of face recognition technologies in Indonesia's dynamic digital world. Adopting a qualitative methodology, the study conducts Focus Group Discussions (FGDs) with various stakeholders, including government agencies, technology developers, regulatory agencies, civil society groups, and data subjects as end-users. Face-to-face group discussions facilitate an in-depth exploration of participants' perspectives, yielding rich qualitative data that reveals nuanced insights into the delicate balance between technological innovation, ethical considerations, and socioeconomic repercussions associated with implementing face recognition technology. The research comprehensively explains the difficulties and opportunities associated with responsible technological progress and biometric data security. The findings from the FGDs influence the development of strategies that effectively balance technical advancement with individual rights, privacy, and social well-being within the growing digital landscape of Indonesia. The regulatory function of the government seeks to bridge the gap between public expectations and technological advancements. Collaboration between academic institutions, government agencies, the private sector, and data subjects as end-users emerges as a crucial element, fostering an all-encompassing strategy integrating research, law, technology deployment, and user empowerment. This holistic approach is necessary to ensure that biometric data and facial recognition technology are utilized responsibly, thereby laying the way for Indonesia's technologically sophisticated and ethically aware digital future.

Background: Peyronie’s disease (PD) represents a challenging urological disease, due to not optimal post-operative surgical outcomes. We aim to evaluate if vacuum erection devices (VED) treatment before pe-nile curvature surgery is able to improve the post-operative surgical outcomes. Methods: All enrolled patients were assigned to the following groups: a) treatment group, VED treatment (3 times per week) starting 3 months before surgery and (3 times per week) one months after surgery and b) control group, VED treatment (3 times per week) one months after surgery. Follow-up urologic visits were scheduled at 3 and 6 months after surgery and the two groups were compared. Results: Thirty-eight patients have been enrolled (median age 67 years, 57-74, IQR), 20 in the treatment group and 18 in the control group. At the follow-up visits, the two groups are different in terms of IIEF-5 (26 vs 24; p=0.02), ‘yes’ to SEP2 and 3 (85% vs 55%; p<0.001, 85% vs 50%; p<0.001, respectively) and PDQ (-16 vs -11; p=0.03). Complete correction of penile curvature was achieved in 36 patients (94.7%). In the treatment group, no hourglass deformity has been reported, while in the control group 1 patient reported a mild hourglass deformity. In the treatment group, we obtained a longer total penile length (median +1.5 cm). The overall satisfaction rate was 98% in the treatment group and 96% in the control group. Conclusions: The VED treatment before penile curvature surgery in patients affected by PD is able to improve the post-operative surgery.

Real-time quaking-induced conversion (RT-QuIC) assays have become common in the detection of chronic wasting disease (CWD) and are very sensitive provided the assay duration is sufficient. However, a prolonged assay duration may lead to non-specific signal amplification. The wide range of pre-defined assay durations in current RT-QuIC applications presents a need for optimization of the RT-QuIC assay duration. In this study, receiver operating characteristic (ROC) analysis was applied to optimize assay duration for detection of CWD in obex and retropharyngeal lymph node (RLN) tissue specimens. Two different fluorescence thresholds were used: a fixed threshold based on background fluorescence (Tstdev) and a max-point ratio (maximum/background fluorescence) threshold (TMPR) to determine CWD positivity. The optimal assay duration was 27 h for both obex and RLN based on Tstdev, and 27 and 28 h for obex and RLN, respectively, based on TMPR. The optimized assay durations were then evaluated for screening CWD in white-tailed deer from an affected farm. Results by RT-QuIC using optimized duration based on Tstdev and TMPR were in 100% and 92.3 % or higher agreement with those by the widely used screening assay, ELISA. In comparison, when using a 40 h assay duration, the agreement between RT-QuIC and ELISA reduced to 89.2% or higher, and the RT-QuIC results were significantly (p < 0.05) different from those using optimum durations. These findings demonstrated that the application of ROC analysis for the optimization of assay duration could improve the RT-QuIC assay for screening CWD in white-tailed deer.

In this article, we give a brief review of the origin of the neutrino mass in some interesting non-linear supersymmetric models with R-symmetry. These models are able to address and solve the most important problems of the particle physics and provide mechanisms for neutrino mass generation and their mixing parameters in agreement with the current experimental data. Their prediction could be experimentally tested in the near future by collider experiments.

In the past years, consumers have increased their interest to buy healthier food products, rejecting those products with more additives and giving preference to the fresh ones. Moreover, the current environmental situation has made society more aware of the importance of reducing the production of plastic and food waste. In this way and considering the Food Industry need of reducing the food spoilage along the food chain, edible coating has been considered as an eco-friendly food packaging that can replace traditional plastic packaging providing an improvement in the product’s shelf-life. Edible coating are thin layers applied straightaway on the food materials’ surface, that are made of biopolymers that usually incorporate other elements, such as nanoparticles or essential oils, to improve their physicochemical properties. These materials must provide a barrier that can prevent the pass of water vapor and other gasses, the microbial growth, the moisture loss, and the oxidation, so the shelf-life could be extended. The aim of this review was to compile the current data available to give a global vision of the formulation process and the different ways to improve the characteristics of the coats applied in both fruits and vegetables. In this way, the suitability of compounds in by-products produced during the Food Industry chain were also considered for the edible coating production.

Recently a measure termed F* was described, as an interpretable transformation of the F measure, also known as the Dice coefficient. Using elementary mathematical methods, it is shown that F* is in fact identical to a previously described measure, monotonically related to the F measure, and variously termed in previous publications, dating from the late 19^th to the late 20^th century, as the ratio of verification, the Jaccard similarity measure or index, the threat score, the Tanimoto index, and the critical success index. The origins of these different terms in different disciplines (weather forecasting, ecology, machine learning) may explain the repeated independent redescription of this measure.

Unidirectional flow of a fluid with pressure-dependent viscosity through a porous structure is considered when the viscosity-pressure relationship is an exponential function of a pressure power function in order to investigate effects of the viscosity-pressure relation on the flow characteristics. The flow is governed by the generalized Brinkman’s equation with constant permeability, and a model flow domain of flow down an inclined porous channel is chosen for the sake of studying flow behaviour. Although the current work considers flow in a constant permeability porous structure, it does represent a first step in studying the more general, flow through a variable permeability porous channel. The arising governing equations are solved numerically using MATLAB and the flow is simulated to illustrate the effects of fluid properties as well as flow and medium parameters on the velocity profiles and shear stress.

Implementation of novel blood-based biomarkers is desired to reduce diagnostic delay and burden for myositis patients. In this retrospective study, the potential of C-X-C motif chemokine ligand 10 (CXCL10) and growth differentiation factor 15 (GDF15) was explored in an established patient cohort diagnosed with immune-mediated necrotizing myopathy (IMNM; n=21), sporadic inclusion body myositis (IBM; n=18), polymyositis (PM; n=3), dermatomyositis (DM; n=2), and anti-synthetase syndrome (ASS; n=1), comparing with healthy controls (n=10) and patients with a hereditary neuromuscular disorder (n=14). CXCL10 and GDF15 were quantified in sera with enzyme-linked immunosorbent assays and immunolocalized in skeletal muscle tissue. In myositis patients, serum CXCL10 levels were significantly increased 9.6--fold compared to healthy and 4.2-fold compared to disease controls. Mean levels in IBM (929±658 pg/ml) were significantly higher than in IMNM (425±324 pg/ml). With the threshold set to 180pg/ml of CXCL10, myositis patients could be differentiated from healthy and disease controls with a sensitivity of 0.80 and a specificity of 0.71. Incorporating a threshold of 300 pg/ml for GDF15 reduced false negatives to two IMNM patients only. Subsets of muscle-infiltrating immune cells expressed CXCL10, and serum levels correlated with muscle inflammation grade. We propose adding circulating CXCL10 and GDF15 to the blood-based diagnostic toolkit for myositis as a valuable patient-friendly approach.

Recent studies suggest that PEBP1/RKIP and YY1, despite having distinct molecular functions, may interact and mutually influence one another's activity. They exhibit reciprocal control over each other's expression through regulatory loops, prompting the hypothesis that their interplay could be pivotal in cancer advancement and resistance to drugs. To delve into this interplay's functional characteristics, we conducted a comprehensive analysis using bioinformatics tools across a range of cancers. Our results confirm the association between elevated YY1 mRNA levels and varying survival outcomes in diverse tumors. Furthermore, we observed differing degrees of inhibitory or stimulatory effects of these two genes in various cancer pathways, along with correlations between their mRNA expression and immune infiltration. Additionally, YY1/PEBP1 expression (or methylation) displayed connections with genomic alterations across cancer types. Notably, we uncovered links between YY1/PEBP1 and different indicators of immunosuppression, such as immune checkpoint blockade response, and T-cell dysfunction/exclusion levels, across different patient groups. Overall, our findings underscore the significant role of the interplay between YY1 and PEBP1 in cancer progression, influencing genomic changes, tumor immunity or the tumor microenvironment. Additionally, these two gene products appear to impact the sensitivity of anticancer drugs, opening new avenues for cancer therapy.

Recent global trends related to the increasing use of e-commerce are becoming a challenge for courier transport especially in the last-mile process of delivering products to the final retail recipient. One of the delivery methods is the personal collection of the parcel in an automated post box, available 24/7 for the customer. This research aims to define the most important attributes of the courier services quality, including the delivery of parcels through automated sending and receiving parcel lockers, leveraging advanced technologies, data, and connectivity to enhance the quality of life, sustainability, and efficiency for city residents. The research was based on a preliminary selection of the most important features of parcel lockers’ service quality, which were extracted from the analysis of scientific literature and previous research. The analysis was carried out by conducting a survey among city parcel locker users that provided data coded according to the dimensions of the Kano model. This allowed to conclude that the location of parcel stations, ensuring improvements for the disabled, adjusting the size of the parcel to the size of the box, proper placement of the parcel in the box and a properly functioning dedicated application are the most important features in the process of automatic delivery of parcels to recipients in urban areas. This paper enriches the literature on customer service quality of self-service technologies for last-mile delivery with the use of automated parcel lockers.

In this study, a novel two-layer control scheme aimed at enhancing the dynamic performance of a nonlinear vehicle through the utilization of an optimal control approach grounded in predictive control principles is presented. The first layer of our control system focuses on the computation of an optimized rotational torque that ensures lateral dynamic stability. This torque is subsequently translated into differential forces acting on the wheels, employing the inverse tire model to derive the desired longitudinal slips. These slip values are then transmitted to the second layer of our control system. In the second layer, the electric motors associated with the vehicle's wheels dynamically adjust the input torque to accurately track the desired slip, thereby ensuring the overall stability of the electric vehicle. In view of the paramount importance of energy consumption in electric vehicles, we adopt optimal control strategies to substantially minimize battery utilization. To this end, careful selection of appropriate weighting coefficients in the control laws enables us to maintain the electric motors within their permissible operational range while simultaneously minimizing battery energy consumption for desired slip tracking. Extensive simulation results validate the effectiveness of our proposed control system in proficiently managing nonlinear effects and safeguarding the vehicle's stability.

The diagnosis and management of cow's milk allergy (CMA) is a topic of debate and controversy. We aimed to compare the opinions of expert groups from the Middle East (n=14) and the European Society of Pediatric Gastroenterology, Hepatology and Nutrition (ESPGHAN) (n=13). These Expert groups voted on statements developed by the ESPGHAN group and published in a recent position paper. The voting outcome was compared. Overall, there was consensus amongst both groups of experts. Most experts agreed that symptoms of crying, irritability and colic, as single manifestations, do not suggest CMA. They agreed that amino-acid-based formula (AAF) should be reserved for severe cases (e.g. malnutrition and anaphylaxis) and that there is insufficient evidence to recommend a step-down approach. There was no consensus on the statement that a cow’s milk-based extensively hydrolysed formula (eHF) should be the first choice as a diagnostic elimination diet in mild/moderate cases. Although the statements regarding the role of hydrolysed rice formula as a diagnostic and therapeutic elimination diet were accepted, 3/27 disagreed. The votes regarding soy formula highlight the differences in opinion in the role of soy protein in CMA dietary treatment. Generally, soy-based formula is seldom available in the Middle East region. All ESPGHAN experts agreed that there was no added value of probiotics, prebiotics, and synbiotics to the efficacy of elimination diets, whereas 3/14 of the Middle East group thought there was sufficient evidence. Therefore, there is not a consensus on the optimal diagnostic and therapeutic elimination diet for CMA, but the first-choice elimination diet and the stepwise management approach reveal some differences.

In order to alleviate the conflict between populations and land-resource, Tianjin has adopted multi-phase reclamation projects to formed large-scale artificial reclamation land. However, the reclamation areas are susceptible to subsidence, which demonstrate a serious threat to infrastructure and people’s lives and property. The SBAS-InSAR was used to acquired surface deformation of Tianjin Binhai New Area from January 2017 year to December 2022 year, analyzed in depth the response relationship between land subsidence and reclamation projects time as well as the land use type. The results show that the Lingang Industrial Zone was the earliest to be reclaimed, with extensive reclamation completed by 2016 year, while Nangang Industrial Zone and Hangu Port started reclamation projects in 2009 year, some areas are still currently under construction. There is a strong correlation between surface deformation and reclamation time, the severe land subsidence occurred over newly reclaimed areas. Surface deformation gradually intensifies from west to east, the maximum surface settlement in Nangang Industrial Zone, Lingang Industrial Zone from the west to the east has changed from -50 mm to -890 mm,45 mm to -580 mm, respectively, reclamation area of Hangu Port with maximum surface deformation is -250 mm. Significant differences deformation among different land use types, which reclamation projects completed in the same time. Subsidence is positively correlated with surface load, in areas with higher surface loads, the surface settlement is also severer,the average surface settlement for the heavy shipyard, 67 grain storage tanks, 27 grain storage tanks, road, and bare land are -201 mm, -166 mm, -107 mm, -64 mm, and -43 mm, respectively. This study reveals significant differences of surface deformation in the reclamation completed at different times and the load is the main driving factor of settlement difference in the reclamation land completed at the same time. Which has important guiding significance for preventing and controlling geological disasters in the reclamation area and later development planning.

Over the years, network analysis became a promising strategy to analyze complex system, i.e. systems composed by a large number of interacting elements. In particular, multilayer networks have emerged as a powerful framework for modelling and analysing complex systems with multiple types of interactions. Network analysis can be applied to pharmacogenomics to gain insights into the interactions between genes, drugs, and diseases. By integrating network analysis techniques with pharmacogenomic data, the goal consists to uncover complex relationships and identify key genes to use in pathway enrichment analysis to figure out biological pathways involved in drug response and adverse reactions. In this study, we model omics, diseases and drugs data together through the multilayer network representation. Then, we mined the multilayer network with a community detection algorithm by obtaining top communities. After that, we used the identified list of genes from the communities to perform pathway enrichment analysis (PEA) to figure out the biological function affected form the selected genes. The results show that the genes forming the top community have the multiple roles through different pathways.

Background: Gestational diabetes is a common complication during pregnancy that can lead to numerous adverse outcomes. Some studies suggest that probiotics may be used to treat gestational diabetes, however, the results remain controversial. We conducted a systematic review and meta-analysis to evaluate the effect of probiotics on blood glucose and pregnancy outcomes in women with gestational diabetes. Methods: A systematic search of PubMed, Embase, and Cochrane databases was performed (start date to August 22, 2023). Primary outcomes included fasting blood sugar (FBS), fasting serum insulin (FSI), homeostasis model assessment of insulin resistance (HOMA-IR), and quantitative insulin sensitivity check index (QUICKI). Secondary outcomes included pregnancy and neonatal outcomes. Results: 15 articles (n = 1006 women) met the inclusion criteria and were included in the analysis. Compared to a placebo, probiotics can decrease FBS (MD -2.58, 95% CI -4.38 to -0.79, p &lt; 0.01), FSI (MD -2.29, 95% CI -3.40 to -1.18, p &lt; 0.01), HOMA-IR (MD -0.56, 95% CI -0.81 to -0.32, p &lt; 0.01), birthweight (MD -101.20, 95% CI -184.62 to -17.77, p = 0.02), neonatal intensive care unit (NICU) (RR 0.60, 95% CI 0.40 to 0.89, p = 0.01), and hyperbilirubinemia (RR 0.31, 95% CI 0.16 to 0.61, p &lt; 0.01), alongside higher QUICKI (MD 0.01, 95% CI 0.00 to 0.01, p &lt; 0.01). However, no other significant results were obtained. Conclusion: Probiotics may improve blood glucose indicators and reduce neonatal hyperbilirubinemia, NICU admissions, and birth weight in women with GDM.

Hydrothermal carbonization of cellulose was examined at 240 ℃ for 1 h. Ammonium sulfate and thiourea were selected as the doping sources of inorganic nitrogen and organic nitrogen for the preparation of supercapacitor carbon. The effect of boric acid on the properties of the resulting hydrochar after KOH activation was examined. The results showed that the proportion of functional groups and the specific surface area of the activated hydrochar would be reduced after the addition of boric acid, and the pore-forming process of the micropores would be inhibited. The hydrochar obtained from the reaction of cellulose and organic nitrogen compounds had better pore size distribution and electrochemical properties after activation. The largest specific surface area (952.27 m2 g-1) was obtained when only thiourea was used as the only doping source. In the three-electrode system, the specific capacitance resulting activated hydrochar reached 236.25 F g-1 at a current density of 1 A g-1. After 20,000 cycles of charging and discharging at a current density of 10 A g-1, the capacitance retention rate reached 99.96%. Therefore, this study proves that the supercapacitor carbon with good electrochemical properties could be obtained by the direct reaction of cellulose with organic nitrogen compounds.

Sri Lanka is a top producer of premium quality concentrated latex (CL), which becomes a base material for dipped rubber products such as gloves and condoms. The processing of CL is resource-intensive, requiring significant amounts of energy, fuel, water, and chemicals. This process leads to various environmental issues such as wastewater pollution, malodor, and greenhouse gas emissions. Several environmental life cycle assessments (ELCA) have been conducted at international and local levels to address the aforesaid issues. However, ELCAs encapsulating different environmental impact areas on CL processing in Sri Lanka are absent. The study revealed that electricity usage was the main hotspot of the environmental burden, significantly impacting Abiotic depletion (fossil fuels), Global warming potential, Ozone layer depletion, Photochemical oxidation, and Acidification. Heavy reliance on coal in the Sri Lankan power grid was identified as the root of this trend. The study suggested two viable options to mitigate the environmental impact: installing inverters to centrifuge separators and solar systems in the factories. The second option was deemed more effective, reducing Acidification, Photochemical oxidation, and Global Warming Potential by approximately 37%, 36%, and 28%, respectively. Relevant officials may immediately consider these improvement options and collaborate to pave the way to a sustainable natural rubber industry.

The postpartum period is marked by profound changes in women at a physical, psychological, and physiological level. Many of these changes persist after four to six weeks postpartum, and most women do not resume their levels of physical activity, which increases the risk of remaining inactive for many years. It is crucial to implement effective programs that promote exercise during the postpartum period. The objective of this study was to test the feasibility and analyze the effects of a structured and supervised postpartum exercise program on the maternal health and fitness parameters. To analyze the potential effects of the intervention, the level of physical activity, quality of life, pelvic girdle and low back pain, fatigue, depression, and the level of functional and physical fitness were assessed at baseline, after 8 weeks, and after 16 weeks of intervention. Feedback on the exercise program was collected after the final assessment. The results showed that a structured and supervised postpartum exercise program was feasible and safe, and produced positive effects on selected maternal health and fitness parameters. These results will encourage a study protocol with a larger sample in order to prove its effectiveness, improve the guidelines for postpartum exercise, and incorporate this program into a routine health care setting.

The Internet of Things (IoT) was born from the fusion of virtual and physical space and became the initiator of many scientific fields. Economic sustainability is the key to further development and progress. Today, the need for electronic commerce has become an economic priority in the transition period between Industry 4.0 and Industry 5.0. Unlike mass production in Industry 4.0, customized production in Industry 5.0 should reach its true potential in vertically organized management and decision-making systems. The authors focused their research on e-commerce based on the three-level vertical IoT environment and the edge, fog, and cloud computing. The paper presents hands-on machine learning (ML) algorithms to facilitate the transition from a flat to a vertical e-commerce concept. The authors also propose practical ML algorithms for a few e-commerce types: consumer-consumer relationships and consumer-company-consumer relationships. These algorithms are mainly composed of convolution neural networks (CNN), natural language understanding (NLU) and sequential pattern mining (SPM), reinforcement learning (RL for agent training), algorithms for clicking on the item prediction, consumer behavior learning, etc. All presented concepts, algorithms, and models are described in detail.

Eustachian Tube Dysfunction is considered a common condition among ENT patients and requires careful history, clinical examination and appropriate investigations to obtain a diagnosis. The ETDQ-7 questionnaire is a useful tool to subjectively score severity of symptoms that are related to this pathology (Appendix A). This study aimed to adapt and validate the ETDQ-7 questionnaire in Greece to ensure correct and efficient use in the outpatient setting (Appendix B). The ETDQ-7 was translated into the Greek language following appropriate methodology. Data for the main study were collected from a sample of 75 Greek patients diagnosed with ETD as well as 25 patients that did not have ETD and who served as a control group. The participants completed the adapted ETDQ-7 questionnaire and underwent a clinical examination that was statistically correlated with their ETDQ-7 answers. Face and content validity were confirmed and the questionnaire was found easy to administer and to be completed by our patients. Test-retest reliability revealed similar internal consistency for the questions and good correlation between individual items and total score. Discriminative validity confirmed statistically significant difference between the two patient groups to ensure that the Greek version of ETDQ-7 is useful to confirm the diagnosis. The Greek version of the ETDQ-7 is safe and efficient to use among a variety of investigation methods for the diagnosis of ETD in the Greek speaking population.